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PETTY AND PETTY P. A. NPI 1457412991


NPI Information

NPI: 1457412991
Provider Name: PETTY AND PETTY, P. A.

Doing Business As: CENTERTON FAMILY EYECARE, P.A.

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
101 DAWN DR
CENTERTON, AR
ZIP 72719
Phone: (479) 795-1411
Get Directions

PETTY AND PETTY, P. A. is an optometrist in Centerton, AR. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PETTY AND PETTY, P. A. NPI is 1457412991. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Centerton Family Eyecare, P.a..

The provider's business location address is:

101 DAWN DR
CENTERTON, AR
ZIP 72719-314
Phone: (479) 795-1411
Fax: (479) 795-1412

The provider's authorized official is Regan Skye Petty .
The authorized official title is Optometrist President and has the following contact phone number (479) 795-1411.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/18/2014.


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
1152W00000XOptometrist2567ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16040140001MEDICARE NSCARKANSAS
2DT6109MEDICARE PINARKANSAS
3V07812MEDICARE UPINARKANSAS
4V07874MEDICARE UPINARKANSAS
549934MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
649935MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

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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