| Dr Megan Jo Petty, OD | |
|
101 Dawn Dr, Centerton, AR 72719-9314 | |
| (479) 426-1660 | |
| Not Available |
| Full Name | Dr Megan Jo Petty |
|---|---|
| Gender | Female |
| Speciality | Optometrist - Vision Therapy |
| Location | 101 Dawn Dr, Centerton, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255332433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WV0400X | Optometrist - Vision Therapy | 2568 (Arkansas) | Primary |
| 152WV0400X | Optometrist - Vision Therapy | 2462 (Oklahoma) | Secondary |
| Provider Name | Petty And Petty P A |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457412991 PECOS PAC ID: 7517063159 Enrollment ID: O20070427000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Megan Jo Petty, OD 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 795-1411 | Dr Megan Jo Petty, OD 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 426-1660 |
Kayton Coffee, OD Optometrist Medicare: Medicare Enrolled Practice Location: 101 Dawn Dr, Centerton, AR 72719 Phone: 479-795-1411 Fax: 479-795-1412 | |
Petty And Petty, P. A. Optometrist Medicare: Medicare Enrolled 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 |