Active NPI
Michael O. Norris, OD
- Optometrist
- Wynne, AR
National Provider Identifier
1023116258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2236
- Practice address
- 619 Canal Ave E
Wynne, AR 72396-3003 - Phone
- (870) 238-7973
- Fax
- (870) 238-7974
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2236 | AR | MD | Optometrist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2236 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
619 Canal Ave E
Wynne, AR 72396-3003
Mailing address
PO Box 1132
Wynne, AR 72396-1132
Phone (870) 238-7973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2008.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1023116258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1132",
"city": "WYNNE",
"state": "AR",
"postal_code": "723961132",
"telephone_number": "870-238-7973",
"fax_number": "870-238-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 CANAL AVE E",
"city": "WYNNE",
"state": "AR",
"postal_code": "723963003",
"telephone_number": "870-238-7973",
"fax_number": "870-238-7974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "MICHAEL",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynne, AR
- Rhonda Nelson
- Zachary Grant Nethercutt, CHILD/ ADULT CIS
- Hong-Van Nguyen, MD
- Cody Don Nickles, PT
- Juliet Noel, RPT
- Northeast Arkansas Community Mental Health Center
- Northeast Arkansas Community Mental Health Center Inc
- Northeast Arkansas Community Mental Health Center Inc
- Jeremiah Nugent, M.D.
- Lee O'Banion, ST ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.