| Pediatric Vision Development Center Inc. | |
|
101 Dawn Dr, Centerton, AR 72719-9314 | |
| (479) 795-1411 | |
| (479) 795-1412 |
| Full Name | Pediatric Vision Development Center Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Vision Therapy |
| 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 |
|---|---|---|---|
| 1558427021 | NPI | - | NPPES |
| 2568 | Other | AR | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WV0400X | Optometrist - Vision Therapy | 2568 (Arkansas) | Primary |
| Provider Name | Megan Jo Petty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255332433 PECOS PAC ID: 7810916145 Enrollment ID: I20051116000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Vision Development Center Inc. 101 Dawn Dr, Centerton, AR 72719-9314 Ph: (479) 795-1411 | Pediatric Vision Development Center Inc. 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 | |
Centerton Family Eyecare, P.a. Optometrist Medicare: Medicare Enrolled 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 |