Central Arkansas Vision Care, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2588 Issued in AR

Legal business name

CENTRAL ARKANSAS VISION CARE, P.A.

Practice address

400 Bryant Ave
Bryant, AR 72022-3813

Phone

(501) 847-6677

Fax

(501) 653-0093

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kristin L Heien, O.D.NPI 1487844171

Title

Owner

Phone

(501) 847-6677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Lorraine Heien, O.D.

  • Optometrist
  • Bryant, AR
  • NPI 1487844171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1194150458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BRYANT AVE",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223813",
            "telephone_number": "501-847-6677",
            "fax_number": "501-653-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BRYANT AVE",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223813",
            "telephone_number": "501-847-6677",
            "fax_number": "501-653-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS VISION CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "HEIEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-847-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yara Guadalupe Cazares Lopez
• Corinna Mishal Celoso, PHARMD
• Center for Regenerative Medicine PA
• Central Arkansas Family Practice
• Central Arkansas Treatment Services, LLC
• Leslie Carol Chambers, APRN
• Blake Chandler, DMD
• Anna Chapdelaine, APRN
• Jamie Charleville, PTA
• Asia Alandrea Chatman

• Optometrist in Bryant, AR
• Providers in Bryant, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.