Organization
PROGRESSIVE EYE CENTER INC
Active
Other names
Ozark Eye Center of Highland
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY H ELLIS O.D. (PRESIDENT)
(870) 257-2100
Entity
Organization
Contact information
Practice address
197 HOSPITAL DRIVE, SUITE A, CHEROKEE VILLAGE, AR 72529-0000
(870) 257-2100
(870) 257-4395
Mailing address
197 HOSPITAL DRIVE, SUITE A, CHEROKEE VILLAGE, AR 72529-0000
(870) 257-2100
(870) 257-4395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2408
AR
152W00000X
Optometrist
Primary
AR2408
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123535722
—
AR
05
—
128855722
—
AR
Enumeration date
03/22/2007
Last updated
10/12/2010
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