Organization Active NPI

Cabot Family Eye Care Inc

  • Optometrist
  • Cabot, AR
National Provider Identifier
1073857025
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2624 Issued in AR
Legal business name
CABOT FAMILY EYE CARE INC
Practice address
32 S Pine St
Suite 1
Cabot, AR 72023-3830
Phone
(713) 492-7572
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Kevin A Livengood, ODNPI 1467696518
Title
Doctor of Optometry/Owner
Phone
(713) 492-7572

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
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2640 AR
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2624 AR Primary

Addresses

Primary practice location

32 S Pine St
Suite 1
Cabot, AR 72023-3830

Mailing address

PO Box 28
Cabot, AR 72023-0028
Phone (713) 492-7572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000263 AR Part B Supplier - Clinic/Group Practice 4880848571 Receives reassigned benefits from 1 practitioner
Practice locations: Cabot, AR

National Provider Directory

National Provider Directory

Locations

32 S Pine St
Ste 1
Cabot, AR 72023
Phone (501) 843-6567

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1073857025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720230028",
            "telephone_number": "713-492-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S PINE ST",
            "address_2": "SUITE 1",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233830",
            "telephone_number": "713-492-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABOT FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "LIVENGOOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY/OWNER",
        "authorized_official_telephone_number": "713-492-7572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2640",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.