Organization Active NPI

Arkansas Eyewear, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Little Rock, AR
National Provider Identifier
1063576346
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 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
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Dr. David R Rozas, M.D.NPI 1043289101
Title
President
Phone
(501) 664-5354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

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 1

  • Blandford Optical Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930051812 AR DME Supplier - Optician 7012035595 Practice locations: Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Arkansas Eyewear Inc5300 W Markham St, Little Rock, AR 72205-3528(501) 664-5354 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Eyewear Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5 Saint Vincent Cir
Ste 101
Little Rock, AR 72205
Phone (501) 664-5354

Practitioners & affiliated clinicians

Practitioners 2

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1063576346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053528",
            "telephone_number": "501-664-5354",
            "fax_number": "501-664-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053528",
            "telephone_number": "501-664-5354",
            "fax_number": "501-664-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS EYEWEAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "ROZAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-664-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blandford Optical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.