Provider Demographics
NPI:1639860257
Name:NUGENT, JOEY (OD)
Entity Type:Individual
Prefix:DR
First Name:JOEY
Middle Name:
Last Name:NUGENT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 790
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-0790
Mailing Address - Country:US
Mailing Address - Phone:501-362-8191
Mailing Address - Fax:501-362-3096
Practice Address - Street 1:111 E FRONT ST
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-2655
Practice Address - Country:US
Practice Address - Phone:501-362-8191
Practice Address - Fax:501-362-3096
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2870152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist