Dr. Ricky Ferguson Vision Center Pa

NPI 1053446732 - Optometrist - 152W00000X

NPI Details
NPI 1053446732
Enumeration Date 02/22/2007
Last Updated 12/29/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICKY CARROLL RICKY
Position OWNER
Phone (870) 367-8511
Fax (870) 367-3215
Practice Location
408 W MCCLOY ST
MONTICELLO AR, 71655-4325, US
Phone (870) 367-8511
Fax (870) 367-3215
Business Location
408 W MCCLOY ST
MONTICELLO AR, 71655-4325, US
Phone (870) 367-8511
Fax (870) 367-3215
Toxanomy
Taxonomy Code 152W00000X
License State Arkansas
License Number 2309
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According to our database, Dr. Ricky Ferguson Vision Center Pa NPI is 1053446732, taxonomy code is 152W00000X and license number is 2309, license state is located at Arkansas. Dr. Ricky Ferguson Vision Center Pa physically located at 408 W Mccloy St, Monticello AR, 71655-4325. NPI Number 1033115704 has the healthcare provider type.

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1053446732 NPI number is provided on an as is basis without warranty of any kind. 1053446732 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Ricky Ferguson Vision Center Pa are for informational purposes only.