Arkansas Eyewear, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Little Rock, AR
NPI 1063576346 · NPPES record last updated Feb 15, 2017
Key facts
- NPI
- 1063576346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ARKANSAS EYEWEAR, INC.
- Practice address
- 5300 W. Markham
Little Rock, AR 72205-3528 - Phone
- (501) 664-5354
- Fax
- (501) 664-5257
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David R Rozas, M.D.
- Title
- President
- Phone
- (501) 664-5354
Corporate family (same tax ID) 1
Practitioners 1
-
Katherine H Baltz, M.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Arkansas Eyewear Inc |
Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930051812 | AR | DME Supplier - Optician | 7012035595 | Practice locations: Little Rock, AR |
National Provider Directory
- Tax ID family
- Arkansas Eyewear Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
5300 W. Markham
Little Rock, AR 72205-3528
Mailing address
5300 W. Markham
Little Rock, AR 72205-3528
Phone (501) 664-5354
Other names
- Blandford Optical
Other providers in Little Rock, AR
- Arkansas Elder Outreach of Little Rock, Inc.
- Arkansas Emergency Group PLLC
- Arkansas Endoscopy Center, P.a.
- Arkansas Enterprises for the Developmentally Disabled, Inc.
- Arkansas Epilepsy Program
- Arkansas Family Care Network
- Arkansas Family Care Network
- Arkansas Family Dental, PA
- Arkansas Family Doulas
- Arkansas Family Medicine PA
All providers in Little Rock, AR · Durable Medical Equipment & Medical Supplies in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.