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DR. MEGAN JO PETTY O.D. NPI 1255332433


NPI Information

NPI: 1255332433
Provider Name: DR. MEGAN JO PETTY, O.D.
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

PECOS Registration: Yes

Address:
101 DAWN DR
CENTERTON, AR
ZIP 72719
Phone: (479) 426-1660
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DR. Megan Jo Petty, O.D. is a vision therapy optometrist in Centerton, AR. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. Megan Jo Petty, O.D. NPI is 1255332433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 DAWN DR
CENTERTON, AR
ZIP 72719-314
Phone: (479) 426-1660

The NPI 1255332433 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/10/2005 and was last updated on 12/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision Therapy2462OKLAHOMANo
2152WV0400XOptometristVision Therapy2568ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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