Organization Active NPI

Brian Guice Optometry, PLLC

Doing business as Kavanaugh Eye Care

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1003052622
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR2610 Issued in AR
Legal business name
BRIAN GUICE OPTOMETRY, PLLC
Doing business as
Kavanaugh Eye Care
Practice address
5600 Kavanaugh Blvd
Suite 8
Little Rock, AR 72207-4424
Phone
(501) 614-9900
NPI assigned
Jan 2, 2009
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. W Brian Guice, O.D.
Title
Owner
Phone
(501) 614-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AR2610 AR Primary

Addresses

Primary practice location

5600 Kavanaugh Blvd
Suite 8
Little Rock, AR 72207-4424

Mailing address

5600 Kavanaugh Blvd
Suite 8
Little Rock, AR 72207-4424
Phone (501) 614-9900

Other names 1

  • Kavanaugh Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090226000463 AR Part B Supplier - Clinic/Group Practice 2365508363 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

5600 Kavanaugh Blvd
Ste 8
Little Rock, AR 72207
Phone (501) 416-9222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1003052622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 KAVANAUGH BLVD",
            "address_2": "SUITE 8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074424",
            "telephone_number": "501-614-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 KAVANAUGH BLVD",
            "address_2": "SUITE 8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074424",
            "telephone_number": "501-614-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN GUICE OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "GUICE",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-614-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kavanaugh Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.