Active NPI
Andrea Alfaro, OD
- Optometrist
- Rogers, AR
National Provider Identifier
1053138230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2881
- Practice address
- 2110 W Walnut St Ste 4
Rogers, AR 72756-3297 - Phone
- (479) 621-8391
- NPI assigned
- Sep 20, 2024
- Last updated
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2881 | AR | Primary |
Addresses
Primary practice location
2110 W Walnut St Ste 4
Rogers, AR 72756-3297
Mailing address
2110 W Walnut St Ste 4
Rogers, AR 72756-3297
Phone (479) 621-8391
Other practice location 1
1714 W Walnut St
Rogers, AR 72756-3324
Phone (147) 963-6201
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landis Eye Care PLLC | Optometrist | Current | Accepting new patients |
Locations
2110 W Walnut St
Ste 4
Rogers, AR 72756
Phone (479) 621-8391
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Rogers, AR
- NPI 1699956888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1053138230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 W WALNUT ST STE 4",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563297",
"telephone_number": "479-621-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 W WALNUT ST STE 4",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563297",
"telephone_number": "479-621-8391"
}
],
"practiceLocations": [
{
"address_1": "1714 W Walnut St",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727563324",
"country_code": "US",
"telephone_number": "147-963-6201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALFARO",
"first_name": "ANDREA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-20",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.