Family Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

2348 Issued in AR

Legal business name

FAMILY EYE CLINIC

Practice address

3004 E Kiehl Ave
Sherwood, AR 72120-3228

Phone

(501) 835-7800

Fax

(501) 835-5060

NPI assigned

Mar 9, 2006

Organization subpart

No

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

Authorized official

Name

Kristin LawNPI 1811300841

Title

Treasurer/Optometrist

Phone

(479) 965-6300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Law, O.D.

  • Optometrist
  • Sherwood, AR
  • NPI 1811300841
  Medicare reassignment Care Compare group NPD Authorized official
• Marcus Chase Law, O.D.

  • Optometrist
  • Sherwood, AR
  • NPI 1558774588
  Medicare reassignment Care Compare group NPD
• Roger Patrick Neal, OD

  • Optometrist
  • North Little Rock, AR
  • NPI 1376582817
  Medicare reassignment Care Compare group NPD
• Bryant B Ashley Jr., O.D.

  • Optometrist
  • North Little Rock, AR
  • NPI 1699875401
  Medicare reassignment NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1073581575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203228",
            "telephone_number": "501-835-7800",
            "fax_number": "501-835-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203228",
            "telephone_number": "501-835-7800",
            "fax_number": "501-835-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3418 Camp Robinson Rd",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721185051",
            "country_code": "US",
            "telephone_number": "501-758-1015",
            "fax_number": "501-758-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15424 Arch St Ste F",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722065461",
            "country_code": "US",
            "telephone_number": "501-888-7533",
            "fax_number": "501-888-8016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "TREASURER/OPTOMETRIST",
        "authorized_official_telephone_number": "479-965-6300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113484722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Evans, LCSW
• Evergreen Therapy, PLLC
• Exacta Laboratory Systems, LLC
• F. Renee Montgomery, MD, PA
• Yousef Arfan Fahoum, DRPH, MA, LPE-I
• Family Ties Entertainment
• Kristin Renee Fancher, RN
• Anna Farnan, PA-C
• Alyssa C Fawbush
• Lori Leigh Fawbush, APN

• Optometrist in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.