Organization
DR. RICKY FERGUSON VISION CENTER PA
Active
Other names
The Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY CARROLL FERGUSON O.D. (OWNER)
(870) 367-8511
Entity
Organization
Contact information
Practice address
408 W MCCLOY ST, MONTICELLO, AR 71655-4325
(870) 367-8511
(870) 367-3215
Mailing address
408 W MCCLOY ST, MONTICELLO, AR 71655-4325
(870) 367-8511
(870) 367-3215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2309
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138899722
—
AR
01
—
410040927
MEDICARE RAILROAD
AR
Enumeration date
02/22/2007
Last updated
12/29/2010
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