Active NPI
Fort Smith Cataract & Laser Center LLC
- Ophthalmologic Surgery Clinic/Center
- Fort Smith, AR
National Provider Identifier
1124150875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- AR3967
- Legal business name
- FORT SMITH CATARACT & LASER CENTER LLC
- Practice address
- 9001 Jenny Lind Rd
Fort Smith, AR 72908-8629 - Phone
- (479) 649-7018
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary L Bodiford, M.D.
- Title
- Owner
- Phone
- (479) 649-7018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | AR3967 | AR | Primary |
Addresses
Primary practice location
9001 Jenny Lind Rd
Fort Smith, AR 72908-8629
Mailing address
9001 Jenny Lind Rd
Fort Smith, AR 72908-8629
Other names 1
- Fianna Hills Surgery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364774400000",
"number": "1124150875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 JENNY LIND RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 JENNY LIND RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088629",
"telephone_number": "479-649-7018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT SMITH CATARACT & LASER CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2013-04-01",
"status": "A",
"authorized_official_last_name": "BODIFORD",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-649-7018",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "AR",
"license": "AR3967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fianna Hills Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Smith, AR
- Tabitha Fondren
- Fort Health Partners PLLC
- Fort Neuro
- Fort Smith Ambulatory Surgery Center, LLC
- Fort Smith Behavioral Health Inc
- Fort Smith Children'S Emergency Shelter, Inc.
- Fort Smith Dialysis Supply Company
- Fort Smith Emergency Hospital, LLC
- Fort Smith Emergency Medical Services
- Fort Smith Emergency Medical Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.