Diana Lynne McKenzie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2379 Issued in AR

Practice address

700 S Bowman Rd
Little Rock, AR 72211-3616

Phone

(501) 228-3937

Fax

(501) 225-4576

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1093768806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HICKORY CT",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238165",
            "telephone_number": "501-847-9898",
            "fax_number": "501-225-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S BOWMAN RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113616",
            "telephone_number": "501-228-3937",
            "fax_number": "501-225-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "787 6th St Bldg 787",
            "address_purpose": "LOCATION",
            "city": "LRAFB",
            "state": "AR",
            "postal_code": "720993813",
            "country_code": "US",
            "telephone_number": "501-983-0106",
            "fax_number": "501-225-4576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "DIANA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven McKee, MD
• Samantha S McKelvey, M.D.
• Philip McKelvy, DPT
• Kyle McKenna, DO
• Allan Dee McKenzie, M.D.
• Marcia McKenzie
• Meagan Shasidy McKenzie, MHPP
• Standley McKinney Jr Jr., MHPP
• Bethany V. McKinney, PT, DPT, CWS
• Daniele McKinney, OTRL

• Optometrist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.