Organization Active NPI

Robert W Smalling OD PA

  • Optometrist
  • Warren, AR
National Provider Identifier
1154533776
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2179 Issued in AR
Legal business name
ROBERT W SMALLING OD PA
Practice address
119 N Main St
Warren, AR 71671-2714
Phone
(870) 226-6731
Fax
(870) 226-7894
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Robert W Smalling, O.D.
Title
President
Phone
(870) 226-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2179 AR Primary

Addresses

Primary practice location

119 N Main St
Warren, AR 71671-2714

Mailing address

119 N Main St
Warren, AR 71671-2714
Phone (870) 226-6731

Other identifiers 1

IdentifierTypeStateIssuer
102194722MedicaidAR

National Provider Directory

National Provider Directory

Locations

119 N Main St
Warren, AR 71671
Phone (870) 226-6731

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1154533776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N MAIN ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712714",
            "telephone_number": "870-226-6731",
            "fax_number": "870-226-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N MAIN ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716712714",
            "telephone_number": "870-226-6731",
            "fax_number": "870-226-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W SMALLING OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "SMALLING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-226-6731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102194722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.