Organization Active NPI

Meador Eye Clinic, Inc

  • Optometrist
  • North Little Rock, AR
National Provider Identifier
1154748911
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2316 Issued in AR
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

Updated by the provider on Aug 26, 2014

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
102210722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140903001517 AR Part B Supplier - Clinic/Group Practice 2860610979 Receives reassigned benefits from 1 practitioner
Practice locations: North Little Rock, AR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.