Organization Active NPI

Robert Lyon Berry M.D.

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1164565560
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MC-1590 Issued in AR
Legal business name
ROBERT LYON BERRY M.D.
Practice address
9800 Lile Dr Ste 301
Little Rock, AR 72205-6230
Phone
(501) 225-4488
Fax
(501) 225-9299
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Robert Lyon Berry
Title
Owner
Phone
(501) 225-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X MC-1590 AR Primary

Addresses

Primary practice location

9800 Lile Dr Ste 301
Little Rock, AR 72205-6230

Mailing address

9800 Lile Dr Ste 301
Little Rock, AR 72205-6230
Phone (501) 225-4488

Other identifiers 1

IdentifierTypeStateIssuer
126878002MedicaidAR

Other names 1

  • Eye Care Arkansas Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1164565560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 LILE DR STE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056230",
            "telephone_number": "501-225-4488",
            "fax_number": "501-225-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 LILE DR STE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056230",
            "telephone_number": "501-225-4488",
            "fax_number": "501-225-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LYON BERRY M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LYON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-225-4488"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "MC-1590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126878002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.