Jerry B Park (NPI# 1235254095, PAC ID# 9739155458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1235254095 |
| PAC ID by PECOS | 9739155458 |
| Professional Enrollment ID | I20101011000526 |
| Full Name | Jerry B Park |
| Address |
303 E Main St Marshall AR 72650-7764 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1966 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 303 E Main St, Marshall, AR 72650-7764 |
| Street Address |
303 E MAIN ST |
| City | MARSHALL |
| State | AR |
| Zip | 72650-7764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Morris | Chiropractic | 303 E Main St, Kingstree, SC 29556-3512 | |
| Carylene D Gentry | Optometry | 303 E Main St, Marshall, AR 72650-7764 | |
| Daniel J Brown | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Clark E Deshon | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Thomas Darrah | Family Practice | Costin Family Practice, Inc. | 303 E Main St, Russells Point, OH 43348-9626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Langer | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 2263 Hwy 65 N, Marshall, AR 72650 |
| Ginger L Clifton | Psychiatry | Boston Mountain Rural Health Center Inc | 2263 Hwy 65 N, Marshall, AR 72650 |
| Bulah Darnell | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 2263 Hwy 65 N, Marshall, AR 72650 |
| Sylvia Irene Hathaway | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 2263 Hwy 65 N, Marshall, AR 72650 |
| Keitha A Keech | Nurse Practitioner | Boston Mountain Rural Health Center Inc | 2263 Hwy 65 N, Marshall, AR 72650 |
| Dianne Martaus | Clinical Social Worker | Counseling Associates Inc | 405 E Main St, Marshall, AR 72650-7702 |
| Kenneth H Hubbard Jr. | Optometry | Sabre Ayers Wright Od Pllc | 300 Glade St, Marshall, AR 72650-7727 |
| Emile T Snyder | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 942 Hwy 65 N, Marshall, AR 72650-7772 |
| Lisa Robbins-spann | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 942 Hwy 65 N, Marshall, AR 72650-7772 |
| Eli Noah Jackson | Physician Assistant | Access Medical Clinic Arkansas LLC | 942 Hwy 65 N, Marshall, AR 72650-7772 |
| Find all physicians in zip 72650 | |||
| City | MARSHALL |
| Zip Code | 72650 |
| Specialty | OPTOMETRY |
| City + Specialty | MARSHALL + OPTOMETRY |
Please comment or provide details below to improve the information on Jerry B Park.
| 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.