Jerry Ellis, OD

NPI 1083776611 · on the registry since 2006 · sole proprietor

Practice

Address: 197 Hospital Drive
Suite A
Cherokee Village, AR 72529
Phone: (870) 257-2100
Fax: (870) 257-4395
Organisation at this address: Progressive Eye Center Inc
White River Health System,Inc.
White River Health System, Inc.
White River Health System, Inc.
White River Health System, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas