| Southern Eye Associates, Ltd | |
|
1014 W Main St, Walnut Ridge, AR 72476-1004 | |
| (870) 886-2632 | |
| (870) 886-1514 |
| Full Name | Southern Eye Associates, Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1014 W Main St, Walnut Ridge, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215025119 | NPI | - | NPPES |
| 102555722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2125 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Eye Associates, Ltd Po Box 88, Walnut Ridge, AR 72476-0088 Ph: (870) 886-2632 | Southern Eye Associates, Ltd 1014 W Main St, Walnut Ridge, AR 72476-1004 Ph: (870) 886-2632 |
Dr. Kelly G Ross, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1014 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-2632 Fax: 870-886-1514 | |
John T Mchaney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1014 W. Main St, Walnut Ridge, AR 72476 Phone: 870-886-2632 Fax: 870-886-1514 | |
Kelly G Ross Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 1014 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-2632 Fax: 870-886-1514 |