Progressive Eye Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2408 Issued in AR

Legal business name

PROGRESSIVE EYE CENTER INC

Practice address

197 Hospital Drive
Suite a
Cherokee Village, AR 72529-0000

Phone

(870) 257-2100

Fax

(870) 257-4395

NPI assigned

Mar 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry H Ellis, O.D.NPI 1083776611

Title

President

Phone

(870) 257-2100

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ozark Eye Center of Highland Former legal business name

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry H Ellis, OD

  • Optometrist
  • Cherokee Village, AR
  • NPI 1083776611

  AR, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Lindsey George, OD

  • Optometrist
  • Cherokee Village, AR
  • NPI 1174191720

  AR, Optometrist

  Medicare reassignment Care Compare group NPD
• William Wesley Dunnam, O.D.

  • Optometrist
  • Piggott, AR
  • NPI 1134579154

  AR, Optometrist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1649397126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 HOSPITAL DRIVE",
            "address_2": "SUITE A",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725290000",
            "telephone_number": "870-257-2100",
            "fax_number": "870-257-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 HOSPITAL DRIVE",
            "address_2": "SUITE A",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725290000",
            "telephone_number": "870-257-2100",
            "fax_number": "870-257-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-257-2100",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2408",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128855722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123535722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Eye Center of Highland",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Oldenberg Inc
• Denise T Oldenberg, MD
• Ozark Medical Equipment
• Pain Treatment Centers of America PLLC
• Rowena Kaye Plumlee, ANP
• Bobby Rapert, PTA
• Bonnie Reed
• Armelda Richert, MHPP
• Marcia Roberts, HIS
• Keely A Rogers, P.T.

• All providers in Cherokee Village, AR
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.