Progressive Eye Center Inc | |
197 Hospital Drive, Suite A, Cherokee Village, AR 72529-0000 | |
(870) 257-2100 | |
(870) 257-4395 |
Full Name | Progressive Eye Center Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 197 Hospital Drive, Cherokee Village, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649397126 | NPI | - | NPPES |
128855722 | Medicaid | AR | |
123535722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2408 (Arkansas) | Secondary |
152W00000X | Optometrist | AR2408 (Arkansas) | Primary |
Provider Name | Jerry H Ellis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083776611 PECOS PAC ID: 6800783523 Enrollment ID: I20110405000864 |
Provider Name | Ashley R Brooks |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871749929 PECOS PAC ID: 9537399076 Enrollment ID: I20140303001808 |
Provider Name | Lindsey George |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174191720 PECOS PAC ID: 5890198055 Enrollment ID: I20210726001512 |
Provider Name | James Trey Upton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356074090 PECOS PAC ID: 5799168597 Enrollment ID: I20220811000915 |
Mailing Address | Practice Location Address |
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Progressive Eye Center Inc 197 Hospital Drive, Suite A, Cherokee Village, AR 72529-0000 Ph: (870) 257-2100 | Progressive Eye Center Inc 197 Hospital Drive, Suite A, Cherokee Village, AR 72529-0000 Ph: (870) 257-2100 |
Dr. Jerry H Ellis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 197 Hospital Drive, Suite A, Cherokee Village, AR 72529 Phone: 870-257-2100 Fax: 870-257-4395 | |
Elizabeth M Kilgore, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 197 Hospital Dr Ste A, Cherokee Village, AR 72529 Phone: 870-257-2100 Fax: 870-257-4395 |