Richard W Wike O D PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2256 Issued in AR

Legal business name

RICHARD W WIKE O D PA

Practice address

2829 Bella Vista Way
Bella Vista, AR 72714-3709

Phone

(479) 855-0009

Fax

(479) 876-7105

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard W Wike, OD

Title

President

Phone

(479) 855-0009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Jo Petty, O.D.

  • Vision Therapy Optometrist
  • Centerton, AR
  • NPI 1255332433
  NPD (past)
• Regan Skye Petty, O.D.

  • Optometrist
  • Centerton, AR
  • NPI 1588666499
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1104968510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143709",
            "telephone_number": "479-855-0009",
            "fax_number": "479-876-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143709",
            "telephone_number": "479-855-0009",
            "fax_number": "479-876-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W WIKE O D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "WIKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-855-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159680722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• QHG of Springdale Inc (Northwest Senior Health Center -- Bentonville)
• Kathy S. Raines, CD, ICCE
• Christopher Lee Reid, MPT
• Carol L Reynolds, DC
• Mary Margaret Rhinehart
• Richard W. Miles, M.D. & Assoc., PLLC
• Brenda Gail Richard, LMSW
• Aaron Riley
• Cara L. Riley, DO
• Robin Renee Ritter, RPH

• Optometrist in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.