NPIMap

Organization Active NPI

Retina Specialists of Arkansas, P.a.

  • Ophthalmology Physician
  • Little Rock, AR
National Provider Identifier
1093988404
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N8008 Issued in AR
Legal business name
RETINA SPECIALISTS OF ARKANSAS, P.A.
Practice address
5 Saint Vincent Cir Ste 201
Little Rock, AR 72205-5416
Phone
(501) 978-5500
Fax
(501) 978-5550
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. James David Bradford, M.D.
Title
President/Physician
Phone
(501) 978-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X N8008 AR Primary

Addresses

Primary practice location

5 Saint Vincent Cir Ste 201
Little Rock, AR 72205-5416

Mailing address

5 Saint Vincent Cir Ste 201
Little Rock, AR 72205-5416
Phone (501) 978-5500

Other identifiers 1

IdentifierTypeStateIssuer
117755001MedicaidAR

National Provider Directory

National Provider Directory

Locations

5 Saint Vincent Cir
Ste 201
Little Rock, AR 72205
Phone (501) 978-5500

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1093988404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055416",
            "telephone_number": "501-978-5500",
            "fax_number": "501-978-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055416",
            "telephone_number": "501-978-5500",
            "fax_number": "501-978-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA SPECIALISTS OF ARKANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "501-978-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "N8008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117755001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.