| Petty And Petty, P. A. | |
|
101 Dawn Dr, Centerton, AR 72719-9314 | |
| (479) 795-1411 | |
| (479) 795-1412 |
| Full Name | Petty And Petty, P. A. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 Dawn Dr, Centerton, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457412991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2567 (Arkansas) | Primary |
| Provider Name | Megan Jo Petty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255332433 PECOS PAC ID: 7810916145 Enrollment ID: I20051116000537 |
| Provider Name | Regan S Petty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588666499 PECOS PAC ID: 4880613678 Enrollment ID: I20060314000026 |
| Provider Name | Jacob J Dufour |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730556580 PECOS PAC ID: 8224326640 Enrollment ID: I20161018000095 |
| Provider Name | David Patrick Hurd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851858252 PECOS PAC ID: 1658608385 Enrollment ID: I20190802002810 |
| Provider Name | Kayton Coffee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366200909 PECOS PAC ID: 1153867007 Enrollment ID: I20240726002853 |
| Mailing Address | Practice Location Address |
|---|---|
| Petty And Petty, P. A. 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 795-1411 | Petty And Petty, P. A. 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 795-1411 |
Dr. Megan Jo Petty, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-426-1660 | |
Kayton Coffee Brawner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412 | |
Pediatric Vision Development Center Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412 | |
Dr. Regan Skye Petty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-426-1660 | |
Jacob Dufour, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412 |