NPIMap

Organization Active NPI

Billingsley Eye Clinic

  • Ophthalmology Physician
  • Siloam Springs, AR
National Provider Identifier
1013189950
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E0342 Issued in AR
Legal business name
BILLINGSLEY EYE CLINIC
Practice address
1675 W Jefferson St
Suite C
Siloam Springs, AR 72761-3057
Phone
(479) 524-6115
Fax
(479) 524-6116
NPI assigned
Apr 1, 2008
Last updated
Feb 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. John A Billingsley III, MDNPI 1972569382
Title
Owner MD Opthalmologist
Phone
(479) 524-6115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E0342 AR Primary

Addresses

Primary practice location

1675 W Jefferson St
Suite C
Siloam Springs, AR 72761-3057

Mailing address

PO Box 339
Siloam Springs, AR 72761-0339
Phone (479) 524-6115

Other identifiers 2

IdentifierTypeStateIssuer
149278002MedicaidAR
20011970AMedicaidOK

Other names 1

  • BILLINGSLEY EYE PRACTICE Former legal business name

National Provider Directory

National Provider Directory

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1013189950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727610339",
            "telephone_number": "479-524-6115",
            "fax_number": "479-524-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 W JEFFERSON ST",
            "address_2": "SUITE C",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613057",
            "telephone_number": "479-524-6115",
            "fax_number": "479-524-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLINGSLEY EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER MD OPTHALMOLOGIST",
        "authorized_official_telephone_number": "479-524-6115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E0342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149278002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20011970A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BILLINGSLEY EYE PRACTICE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.