NPIMap

Organization Active NPI

Pharmedic, Inc

Doing business as Medical Arts Optical

  • Optician
  • Hot Springs, AR
National Provider Identifier
1093905721
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
I930734 Issued in AZ
Legal business name
PHARMEDIC, INC
Doing business as
Medical Arts Optical
Practice address
4425 Central Ave
Suite a
Hot Springs, AR 71913
Phone
(501) 525-3606
Fax
(501) 525-0628
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Mr. Robert W Stephens
Title
Cfo
Phone
(501) 525-3606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X I930734 AZ Primary
Eyewear Supplier 332H00000X 25090 AR

Addresses

Primary practice location

4425 Central Ave
Suite a
Hot Springs, AR 71913

Mailing address

4425 Central Ave
Suite a
Hot Springs, AR 71913
Phone (501) 525-3606

Other identifiers 2

IdentifierTypeStateIssuer
49255OtherARBCBS
AR0734OtherOHEYEMED

Other names 1

  • Medical Arts Optical Doing business as

National Provider Directory

National Provider Directory

Locations

4425 Central Ave
Ste A
Hot Springs National Park, AR 71913
Phone (501) 525-3606

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1093905721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-525-3606",
            "fax_number": "501-525-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-525-3606",
            "fax_number": "501-525-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMEDIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "501-525-3606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "I930734",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AR",
            "license": "25090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49255",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "AR0734",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Arts Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.