Progressive Eye Center of Melbourne, LLC

NPI #1619371283 in Melbourne, Arkansas

Provider Information

NPI Number: 1619371283
Entity Type: Organization
Organization Name: Progressive Eye Center of Melbourne, LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 10, 2014
Last Updated: Mar 4, 2015

Practice Location

Address: 102 SPRING ST
City: Melbourne
State: Arkansas
ZIP Code: 72556-9241
Phone: (870) 257-2100

Authorized Official

Name: MR. JERRY H ELLIS, O.D.
Title: PRESIDENT
Phone: (870) 257-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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