Ozark Eye Center Of Highland

LBN: Progressive Eye Center Inc
Ozark Eye Center Of Highland is an health care organization with primary practice located at 197 Hospital Drive Suite A, Cherokee Village AR 72529-0000. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Progressive Eye Center Inc can be contacted via phone (870) 257-2100, or through Ellis, Jerry H via phone (870) 257-2100.

Contact Information

Primary practice address
197 Hospital Drive Suite A Cherokee Village AR 72529-0000
Phone: (870) 257-2100
Fax: (870) 257-4395
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Jerry H Doctor of Optometry (OD)
Phone: (870) 257-2100

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2408 Arkansas
Eye and Vision Services Providers / Optometrist 152W00000X AR2408 Arkansas

Profile Details

NPI number 1649397126
LBN Legal business name Progressive Eye Center Inc
DBA Doing business as Ozark Eye Center Of Highland
Authorized official Ellis, Jerry H Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Oct 12th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649397126 NPPES
Arkansas MEDICAID 128855722
Arkansas MEDICAID 123535722

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