DR. REGAN SKYE PETTY (NPI# 1588666499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588666499 |
| Entity Type | Individual |
| Full Name | DR. REGAN SKYE PETTY |
| Credential | O.D. |
| Practice Address |
101 Dawn Dr Centerton AR 72719 |
| Mailing Address |
101 Dawn Dr Centerton AR 72719-9314 |
| Practice Telephone | 4794261660 |
| Mailing Telephone | 4797951411 |
| Mailing Fax Number | 4797951412 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2567 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 160482722 | 05 | |
| AR | 1588666499 | 05 |
| Street Address |
101 DAWN DR |
| City | CENTERTON |
| State | AR |
| Zip Code | 72719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332433 | Megan Jo Petty | Optometrist | 101 Dawn Dr, Centerton, AR 72719-9314 | 2005-08-10 |
| 1730556580 | Jacob Dufour | Optometrist | 101 Dawn Dr, Centerton, AR 72719-9314 | 2015-08-27 |
| 1558427021 | Pediatric Vision Development Center Inc. | Optometrist | 101 Dawn Dr, Centerton, AR 72719-9314 | 2006-12-29 |
| 1457412991 | Petty and Petty, P. A. | Optometrist | 101 Dawn Dr, Centerton, AR 72719-9314 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086724 | Epic Smiles Pllc | Dentist | 310 E Centerton Blvd, Centerton, AR 72719 | 2020-09-04 |
| 1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
| 1861967291 | Apexnetwork Arkansas, LLC | Physical Therapist | 1128 E. Centerton Blvd, Centerton, AR 72719 | 2018-10-12 |
| 1568975761 | Reeves Medical Associates, Pllc | Internal Medicine | 1415 E Centerton Blvd, Centerton, AR 72719 | 2017-11-09 |
| 1164948246 | Jodie A Bone | Behavioral Analyst | 450 Walker Street, Centerton, AR 72719 | 2017-08-21 |
| 1225581606 | Andrew Jason Phipps | Dentist | 807 West Centerton Blvd, Centerton, AR 72719 | 2016-08-02 |
| 1922429158 | Chelsea Kinney | Speech-Language Pathologist | 427 Centerton Blvd, Centerton, AR 72719 | 2013-12-13 |
| 1467707166 | Stacey Kirk | Case Manager/Care Coordinator | 250 East Centerton Blvd., Centerton, AR 72719 | 2012-07-18 |
| 1295994457 | Tracie Leanne Downey | Occupational Therapist | 675 Brimwood Street, Centerton, AR 72719 | 2008-06-03 |
| 1124228382 | Carolyn R Reeves | Internal Medicine | 1415 E Centeron Blvd, Centeron, AR 72719 | 2007-07-24 |
| Find all providers in zip 72719 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457412991 | Petty and Petty, P. A. | Optometrist | 101 Dawn Dr, Centerton, AR 72719-9314 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373088 | Taylor Renz | Optometrist | 1225 W Beebe Capps Expy, Searcy, AR 72143-5179 | 2020-07-09 |
| 1932733185 | Ashley Mcgee | Optometrist | 723 Falls Blvd S Ste A, Wynne, AR 72396-3509 | 2020-02-26 |
| 1972144566 | Randy Bell Od Pllc | Optometrist | 101 W Walnut St, Rogers, AR 72756-6662 | 2019-10-04 |
| 1881241792 | Radiant Eye Care Optometric Corporation | Optometrist | 1210 Jtl Pkwy E Ste 103, Springdale, AR 72762-7019 | 2019-08-25 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1568024230 | Lawrence Allen King IIi | Optometrist | 4300 Rogers Ave Ste 46, Fort Smith, AR 72903-3152 | 2019-07-02 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1417413717 | Med Southwest, Pllc | Optometrist | 114 E 49th St, Texarkana, AR 71854-2117 | 2019-02-12 |
| 1588120877 | Med Southwest, Pllc | Optometrist | 2510 N Hervey St, Hope, AR 71801-8419 | 2019-02-12 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.