| Jeffries Eye Clinic Pa | |
|
3602 W Southern Hills Blvd, Rogers, AR 72758-8013 | |
| (479) 631-8900 | |
| (479) 899-6698 |
| Full Name | Jeffries Eye Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3602 W Southern Hills Blvd, Rogers, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427142934 | NPI | - | NPPES |
| 148694002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Nick D Banks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861476707 PECOS PAC ID: 3971662362 Enrollment ID: I20081029000751 |
| Provider Name | James S Myers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508830357 PECOS PAC ID: 0840342549 Enrollment ID: I20090710000003 |
| Provider Name | Robert E Jeffries |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740275775 PECOS PAC ID: 5597951806 Enrollment ID: I20101129001051 |
| Provider Name | Jessalyn E Halsted |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174879233 PECOS PAC ID: 8820248826 Enrollment ID: I20121029000688 |
| Provider Name | Megan K Shirey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811345077 PECOS PAC ID: 1052685492 Enrollment ID: I20170922001848 |
| Provider Name | Denise B Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609847102 PECOS PAC ID: 1658356969 Enrollment ID: I20191223001721 |
| Provider Name | Lauren P Rowland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194321653 PECOS PAC ID: 6305245671 Enrollment ID: I20220302001089 |
| Provider Name | Braden L Wilson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558820381 PECOS PAC ID: 0446584338 Enrollment ID: I20230615003945 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffries Eye Clinic Pa 3602 W Southern Hills Blvd, Rogers, AR 72758-8013 Ph: (479) 631-8900 | Jeffries Eye Clinic Pa 3602 W Southern Hills Blvd, Rogers, AR 72758-8013 Ph: (479) 631-8900 |