Active NPI
Robert Lyon Berry M.D.
- Optometrist
- Little Rock, AR
National Provider Identifier
1164565560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MC-1590
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126878002 | Medicaid | AR |
Other names 1
- Eye Care Arkansas
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Sherwood, AR
- NPI 1669670063
-
- Ophthalmology Physician
- Little Rock, AR
- NPI 1477656213
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.