Petty, Megan Jo

Petty, Megan Jo is an sole proprietor health care provider with primary practice located at 101 Dawn Dr , Centerton AR 72719-9314. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Petty, Megan Jo can be contacted via phone (479) 426-1660.

Contact Information

Primary practice address
101 Dawn Dr Centerton AR 72719-9314
Phone: (479) 426-1660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2568 Arkansas
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2462 Oklahoma

Profile Details

NPI number 1255332433
LBN Legal business name Petty, Megan Jo
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Dec 12th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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