Active NPI
Meador Eye Clinic, Inc
- Optometrist
- North Little Rock, AR
National Provider Identifier
1154748911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2316
- Legal business name
- MEADOR EYE CLINIC, INC
- Practice address
- 2524 Crestwood Rd
North Little Rock, AR 72116-7623 - Phone
- (501) 753-2030
- Fax
- (501) 313-2613
- NPI assigned
- Mar 18, 2014
- 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
- Rick Meador, O.D.
- Title
- Doctor
- Phone
- (501) 753-2030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2316 | AR | Primary |
Addresses
Primary practice location
2524 Crestwood Rd
North Little Rock, AR 72116-7623
Mailing address
2524 Crestwood Rd
North Little Rock, AR 72116-7623
Phone (501) 753-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102210722 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2524 Crestwood Rd
Ste 1
North Little Rock, AR 72116
Phone (501) 753-2030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- North Little Rock, AR
- NPI 1972542579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409011200000",
"number": "1154748911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2524 CRESTWOOD RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167623",
"telephone_number": "501-753-2030",
"fax_number": "501-313-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2524 CRESTWOOD RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167623",
"telephone_number": "501-753-2030",
"fax_number": "501-313-2613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOR EYE CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-18",
"last_updated": "2014-08-26",
"status": "A",
"authorized_official_last_name": "MEADOR",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "501-753-2030",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AR",
"license": "2316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102210722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.