Seniorworks Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SENIORWORKS OPTOMETRY LLC

Practice address

110 W Colonel Glenn Rd
Little Rock, AR 72210-5848

Phone

(501) 821-4300

Fax

(501) 821-4300

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle L Defort

Title

Manager

Phone

(501) 821-4300

Specialties & licenses 1

Addresses

Other names 1

• Seniorworks Optometry LLC Former legal business name

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1154822542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W COLONEL GLENN RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105848",
            "telephone_number": "501-821-4300",
            "fax_number": "501-821-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W COLONEL GLENN RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105848",
            "telephone_number": "501-821-4300",
            "fax_number": "501-821-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORWORKS OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "DEFORT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-821-4300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seniorworks Optometry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.