Organization Active NPI

Fort Smith Cataract & Laser Center LLC

  • Ophthalmologic Surgery Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1124150875
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
AR3967 Issued in AR
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

Updated by the provider on Apr 1, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.