DR. Jerry H Ellis, OD

NPI #1083776611 in Cherokee Village, Arkansas

Provider Information

NPI Number: 1083776611
Entity Type: Individual
Name: DR. Jerry H Ellis, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 13, 2006
Last Updated: Dec 7, 2009

Practice Location

Address: 197 HOSPITAL DRIVE
Address 2: SUITE A
City: Cherokee Village
State: Arkansas
ZIP Code: 72529-7315
Phone: (870) 257-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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Progressive Eye Center INC	Optometrist	Cherokee Village	AI Deep Dive

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