Charles Todd, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2476 Issued in AR

Legal business name

CHARLES TODD, PA

Doing business as

Park-Todd Eye Clinic

Practice address

552 Locust St
Conway, AR 72034-5325

Phone

(501) 329-6859

Fax

(501) 329-6850

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Charles Todd, O.D.

Title

Owner

Phone

(501) 329-6859

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Park-Todd Eye Clinic Doing business as

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1033295639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 LOCUST ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345325",
            "telephone_number": "501-329-6859",
            "fax_number": "501-329-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 LOCUST ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345325",
            "telephone_number": "501-329-6859",
            "fax_number": "501-329-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES TODD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-329-6859",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135733722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park-Todd Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Conway, AR
• Providers in Conway, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.