James Trey Upton, | |
197 Hospital Dr Ste A, Cherokee Village, AR 72529-7315 | |
(870) 257-2100 | |
Not Available |
Full Name | James Trey Upton |
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Gender | Male |
Speciality | Optometrist |
Location | 197 Hospital Dr Ste A, Cherokee Village, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356074090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2856 (Arkansas) | Primary |
Provider Name | Progressive Eye Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649397126 PECOS PAC ID: 7810962438 Enrollment ID: O20040827000675 |
Mailing Address | Practice Location Address |
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James Trey Upton, 197 Hospital Dr Ste A, Cherokee Village, AR 72529-7315 Ph: (870) 257-2100 | James Trey Upton, 197 Hospital Dr Ste A, Cherokee Village, AR 72529-7315 Ph: (870) 257-2100 |
Dr. Jerry H Ellis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 197 Hospital Drive, Suite A, Cherokee Village, AR 72529 Phone: 870-257-2100 Fax: 870-257-4395 | |
Progressive Eye Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 197 Hospital Drive, Suite A, Cherokee Village, AR 72529 Phone: 870-257-2100 Fax: 870-257-4395 | |
Elizabeth M Kilgore, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 197 Hospital Dr Ste A, Cherokee Village, AR 72529 Phone: 870-257-2100 Fax: 870-257-4395 |