Pediatric Vision Development Center Inc. | |
101 Dawn Dr, Centerton, AR 72719-9314 | |
(479) 795-1411 | |
(479) 795-1412 |
Full Name | Pediatric Vision Development Center Inc. |
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Type | Facility |
Speciality | Optometrist - Vision Therapy |
Location | 101 Dawn Dr, Centerton, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558427021 | NPI | - | NPPES |
2568 | Other | AR | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WV0400X | Optometrist - Vision Therapy | 2568 (Arkansas) | Primary |
Provider Name | Megan Jo Petty |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255332433 PECOS PAC ID: 7810916145 Enrollment ID: I20051116000537 |
Mailing Address | Practice Location Address |
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Pediatric Vision Development Center Inc. 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 795-1411 | Pediatric Vision Development Center Inc. 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 795-1411 |
Dr. Megan Jo Petty, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-426-1660 | |
Kayton Coffee, OD Optometrist Medicare: Medicare Enrolled Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412 | |
Dr. Regan Skye Petty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-426-1660 | |
Jacob Dufour, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412 |