| Dr Jerry H Ellis, OD | |
|
197 Hospital Drive, Suite A, Cherokee Village, AR 72529-7315 | |
| (870) 257-2100 | |
| (870) 257-4395 |
| Full Name | Dr Jerry H Ellis |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 36 Years |
| Location | 197 Hospital Drive, Cherokee Village, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083776611 | NPI | - | NPPES |
| 128855722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2408 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progressive Eye Center Inc | 7810962438 | 2 |
| Provider Name | Progressive Eye Center Inc |
|---|---|
| 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 |
|---|---|
| Dr Jerry H Ellis, OD 197 Hospital Drive, Suite A, Cherokee Village, AR 72529-7315 Ph: (870) 257-2100 | Dr Jerry H Ellis, OD 197 Hospital Drive, Suite A, Cherokee Village, AR 72529-7315 Ph: (870) 257-2100 |
Dr. Lindsey George, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 197 Hospital Dr Ste A, Cherokee Village, AR 72529 Phone: 870-257-2100 | |
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 |