Organization
PROGRESSIVE EYE CENTER OF MELBOURNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY H ELLIS O.D. (PRESIDENT)
(870) 257-2100
Entity
Organization
Contact information
Practice address
102 SPRING ST, MELBOURNE, AR 72556-9241
(870) 257-2100
(870) 257-4395
Mailing address
PO BOX 398, ASH FLAT, AR 72513-0398
(870) 257-2100
(870) 257-4395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
AR
Other
Enumeration date
10/10/2014
Last updated
03/04/2015
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