Organization Active NPI

Ozark Eyes, PLLC

Doing business as Ozark Eyes

  • Optometrist
  • Springdale, AR
National Provider Identifier
1184854200
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OZARK EYES, PLLC
Doing business as
Ozark Eyes
Practice address
7058 W Sunset Ave
Suite #3
Springdale, AR 72762-0680
Phone
(479) 361-9933
Fax
(479) 361-9937
NPI assigned
Jul 23, 2009
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Justin Beavers, O.D.
Title
Member/Owner
Phone
(479) 799-5751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7058 W Sunset Ave
Suite #3
Springdale, AR 72762-0680

Mailing address

7058 W Sunset Ave
Suite #3
Springdale, AR 72762-0680
Phone (479) 361-9933

Other names 1

  • Ozark Eyes Doing business as

National Provider Directory

National Provider Directory

Locations

4870 Elm Springs Rd
Springdale, AR 72762
Phone (479) 235-6685

7058 W Sunset Ave
Ste 3
Springdale, AR 72762
Phone (479) 361-9933

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1184854200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7058 W SUNSET AVE",
            "address_2": "SUITE #3",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620680",
            "telephone_number": "479-361-9933",
            "fax_number": "479-361-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7058 W SUNSET AVE",
            "address_2": "SUITE #3",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620680",
            "telephone_number": "479-361-9933",
            "fax_number": "479-361-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK EYES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "479-799-5751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.