Active NPI
Carl D. Blythe, O.D.
- Optometrist
- N Little Rock, AR
National Provider Identifier
1265424709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2014
- Practice address
- 4450 E McCain Blvd
N Little Rock, AR 72117-2519 - Phone
- (501) 945-3460
- Fax
- (501) 945-4076
- NPI assigned
- Aug 19, 2005
- Last updated
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2014 | AR | Primary |
Addresses
Primary practice location
4450 E McCain Blvd
N Little Rock, AR 72117-2519
Mailing address
4450 E McCain Blvd
N Little Rock, AR 72117-2519
Phone (501) 945-3460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1265424709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 E MCCAIN BLVD",
"city": "N LITTLE ROCK",
"state": "AR",
"postal_code": "721172519",
"telephone_number": "501-945-3460",
"fax_number": "501-945-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 E MCCAIN BLVD",
"city": "N LITTLE ROCK",
"state": "AR",
"postal_code": "721172519",
"telephone_number": "501-945-3460",
"fax_number": "501-945-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYTHE",
"first_name": "CARL",
"middle_name": "D.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.