Individual provider Active NPI

Pete F Parenti, OD

  • Optometrist
  • Rogers, AR
National Provider Identifier
1164526422
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2146 Issued in AR
Practice address
3710 Southern Hills Blvd
Suite 200
Rogers, AR 72758-8041
Phone
(479) 636-1960
Fax
(479) 636-8012
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2146 AR Primary

Addresses

Primary practice location

3710 Southern Hills Blvd
Suite 200
Rogers, AR 72758-8041

Mailing address

3710 Southern Hills Blvd
Suite 200
Rogers, AR 72758-8041
Phone (479) 636-1960

Other identifiers 1

IdentifierTypeStateIssuer
101119722MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000532 AR Practitioner - Optometry 6901905546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2146ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Parenti-Morris Eyecare PLLC Optometrist CurrentSince Feb 1, 2007 Accepting new patients

Locations

3710 W Southern Hills Blvd
Rogers, AR 72758
Phone (479) 636-1960

3710 W Southern Hills Blvd
Ste 200
Rogers, AR 72758
Phone (479) 636-1960

408 N 8th St
Rogers, AR 72756
Phone (479) 631-3955

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1164526422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SOUTHERN HILLS BLVD",
            "address_2": "SUITE 200",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588041",
            "telephone_number": "479-636-1960",
            "fax_number": "479-636-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SOUTHERN HILLS BLVD",
            "address_2": "SUITE 200",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588041",
            "telephone_number": "479-636-1960",
            "fax_number": "479-636-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENTI",
        "first_name": "PETE",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101119722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.