Jacob Joseph Dufour (NPI# 1730556580, PAC ID# 8224326640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1730556580 |
| PAC ID by PECOS | 8224326640 |
| Professional Enrollment ID | I20161018000095 |
| Full Name | Jacob Joseph Dufour |
| Organization Legal Name | PETTY AND PETTY, P. A. |
| Address |
101 Dawn Dr Centerton AR 72719-9314 |
| Phone Number | 4797951411 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7517063159 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 101 Dawn Dr, Centerton, AR 72719-9314 | 4797951411 | PETTY AND PETTY, P. A. |
| Organization Legal Name | PETTY AND PETTY, P. A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Jo Petty | Optometry | Petty and Petty, P. A. | 101 Dawn Dr, Centerton, AR 72719-9314 |
| Regan S Petty | Optometry | Petty and Petty, P. A. | 101 Dawn Dr, Centerton, AR 72719-9314 |
| Street Address |
101 DAWN DR |
| City | CENTERTON |
| State | AR |
| Zip | 72719-9314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Jo Petty | Optometry | Petty and Petty, P. A. | 101 Dawn Dr, Centerton, AR 72719-9314 |
| Regan S Petty | Optometry | Petty and Petty, P. A. | 101 Dawn Dr, Centerton, AR 72719-9314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance Faddis | Internal Medicine | Mercy Health Northwest Arkansas Communities | 1225 E Centerton Blvd, Mercy Clinic Primary Care Centerton, Centerton, AR 72719-1225 |
| Kyler Todd Offenbacker | Physical Therapy | Serc Rehabilitation Partners LLC | 1240 E Centerton Blvd, Centerton, AR 72719-1300 |
| Anne Marie Cope | Physical Therapy | 1128 E Centerton Blvd, Centerton, AR 72719-6058 | |
| Carolyn Reeves | Internal Medicine | 1415 E Centerton Blvd, Centerton, AR 72719-7050 | |
| Randy D Conover | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Erin Michelle Kwyzla | Nurse Practitioner | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Gregory Ryan Spears | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Michelle Manthe | Physician Assistant | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| George R Declerk | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| David J Foscue | General Practice | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Find all physicians in zip 72719 | |||
| City | CENTERTON |
| Zip Code | 72719 |
| Specialty | OPTOMETRY |
| City + Specialty | CENTERTON + OPTOMETRY |
Please comment or provide details below to improve the information on Jacob Joseph Dufour.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.