Progressive Eye Center of Piggott LLC

NPI #1396053021 in Piggott, Arkansas

Provider Information

NPI Number
1396053021
Entity Type
Organization
Organization Name
Progressive Eye Center of Piggott LLC
Primary Specialty
Optometrist
Enumeration Date
Sep 15, 2010
Last Updated
Sep 15, 2010

Practice Location

Address
325 W JACKSON ST
ZIP Code
72454-2014
Phone
(870) 598-2625

Authorized Official

Name
JERRY HERMAN ELLIS, OD
Title
PRESIDENT
Phone
(870) 598-2625

Specialties & Taxonomy Codes

Specialty
Optometrist

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