Organization Active NPI

Valley View Vision, P.L.L.C.

  • Optometrist
  • Jonesboro, AR
National Provider Identifier
1063872505
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2667 Issued in AR
Legal business name
VALLEY VIEW VISION, P.L.L.C.
Practice address
1911 W Parker Rd
Jonesboro, AR 72404-8465
Phone
(615) 415-3020
NPI assigned
Feb 25, 2016
Last updated
Oct 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Dr. Anna Ellen Lawrence, O.D.NPI 1811052640
Title
Optometrist
Phone
(870) 273-2581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Optometrist 152W00000X 2667 AR Primary

Addresses

Primary practice location

1911 W Parker Rd
Jonesboro, AR 72404-8465

Mailing address

1911 W Parker Rd
Jonesboro, AR 72404-8465
Phone (870) 273-2581

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160427001305 AR Part B Supplier - Clinic/Group Practice 1456650340 Receives reassigned benefits from 2 practitioners
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

1911 W Parker Rd
Jonesboro, AR 72404
Phone (615) 415-3020

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": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1063872505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 W PARKER RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048465",
            "telephone_number": "870-273-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 W PARKER RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048465",
            "telephone_number": "615-415-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW VISION, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "870-273-2581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.