Organization
PROGRESSIVE EYE CENTER OF PARAGOULD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY H ELLIS OD (PRESIDENT)
(870) 257-2100
Entity
Organization
Contact information
Practice address
2207 LINWOOD DR, PARAGOULD, AR 72450-6120
(870) 236-1313
Mailing address
PO BOX 738, ASH FLAT, AR 72513-0738
(870) 598-2043
(870) 598-5676
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2408
AR
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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