Blandford Optical Shop

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BLANDFORD OPTICAL SHOP

Practice address

5 Saint Vincent Cir
Suite 101
Little Rock, AR 72205-5412

Phone

(501) 664-6123

NPI assigned

Aug 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Rodney Rozas, M.D.

Title

Owner

Phone

(501) 664-6123

Specialties & licenses 1

Addresses

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.

• Arkansas Eyewear, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Little Rock, AR
  • NPI 1063576346
  NPD tax ID

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073522611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055412",
            "telephone_number": "501-664-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055412",
            "telephone_number": "501-664-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANDFORD OPTICAL SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROZAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-664-6123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulina K Blanc, DO
• Dylan Blancett, DPT
• Collie Marie Bland
• Jameelah Bland
• Blandford Eyecare & Surgery
• Blandford Pharmacy (Blanford Pharmacy)
• Carrie Blankenship
• Elizabeth Blankenship
• William F Blankenship, M.D.
• Shelley Blanksteen, P.T.

• Eyewear Supplier in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Eyewear Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.