Progressive Eye Center Of Piggott Llc | |
325 W Jackson St, Piggott, AR 72454-2014 | |
(870) 598-2625 | |
(870) 598-5676 |
Full Name | Progressive Eye Center Of Piggott Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 325 W Jackson St, Piggott, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396053021 | NPI | - | NPPES |
1770897076 | Other | NPI | |
1083776611 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2408 (Arkansas) | Primary |
Provider Name | Jerry H Ellis |
---|---|
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 | William Wesley Dunnam |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134579154 PECOS PAC ID: 1658648126 Enrollment ID: I20170605001636 |
Provider Name | Lindsey George |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174191720 PECOS PAC ID: 5890198055 Enrollment ID: I20210726001512 |
Mailing Address | Practice Location Address |
---|---|
Progressive Eye Center Of Piggott Llc Po Box 740, Ash Flat, AR 72513-0740 Ph: (870) 598-2625 | Progressive Eye Center Of Piggott Llc 325 W Jackson St, Piggott, AR 72454-2014 Ph: (870) 598-2625 |
Dr. William Wesley Dunnam, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 W Jackson St, Piggott, AR 72454 Phone: 870-598-2625 |