Individual provider Active NPI

William Brian Guice, O.D.

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1255596300
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1100450 Issued in AR
Practice address
5600 Kavanaugh Blvd
Suite 8
Little Rock, AR 72207-4424
Phone
(501) 614-9900
Fax
(888) 227-9184
NPI assigned
Jul 28, 2008
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1100450 AR Primary
Corneal and Contact Management Optometrist 152WC0802X OP1100450 AR

Addresses

Primary practice location

5600 Kavanaugh Blvd
Suite 8
Little Rock, AR 72207-4424

Mailing address

5600 Kavanaugh Blvd
Suite 8
Little Rock, AR 72207-4424
Phone (501) 614-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000443 AR Practitioner - Optometry 4284790288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5600 Kavanaugh Blvd
Suite 8
Little Rock, AR 72207-4439
Phone (501) 416-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1100450ARMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Guice Optometry, PLLC Optometrist CurrentSince Jan 1, 2009 Accepting new patients

Locations

5600 Kavanaugh Blvd
Ste 8
Little Rock, AR 72207
Phone (501) 416-9222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1255596300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 KAVANAUGH BLVD",
            "address_2": "SUITE 8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074424",
            "telephone_number": "501-614-9900",
            "fax_number": "888-227-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 KAVANAUGH BLVD",
            "address_2": "SUITE 8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074424",
            "telephone_number": "501-614-9900",
            "fax_number": "888-227-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUICE",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "OP1100450",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AR",
            "license": "OP1100450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.