Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY H ELLIS, OD
Active Sole ProprietorDR. JERRY H ELLIS, OD is a Optometrist healthcare provider located in CHEROKEE VILLAGE, Arkansas. NPI 1083776611 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CHEROKEE VILLAGE, AR
Registration Details
- NPI Number
- 1083776611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.671252163299 yrs)
- Last Updated
- Dec 7, 2009
- License
-
2408 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
197 HOSPITAL DRIVESUITE ACHEROKEE VILLAGE, AR, 725297315Browse AR providers · Browse ZIP 72529
- Phone
- 8702572100
- Fax
- 8702574395
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CHEROKEE VILLAGE, AR
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH M KILGORE | O.D. | 1770897076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.