Organization Active NPI

Magie Eye Clinic of Morrilton,PA

  • Ophthalmology Physician
  • Morrilton, AR
National Provider Identifier
1265767990
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C2717 Issued in AR
Legal business name
MAGIE EYE CLINIC OF MORRILTON,PA
Practice address
810 E Harding St
Morrilton, AR 72110-2250
Phone
(501) 354-3937
Fax
(501) 354-9111
NPI assigned
Oct 14, 2009
Last updated
Dec 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Dr. Jimmie John Magie
Title
Medical Director
Phone
(501) 652-0656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C2717 AR Primary

Addresses

Primary practice location

810 E Harding St
Morrilton, AR 72110-2250

Mailing address

810 E Harding St
Morrilton, AR 72110-2250
Phone (501) 354-3937

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1265767990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E HARDING ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102250",
            "telephone_number": "501-354-3937",
            "fax_number": "501-354-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E HARDING ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102250",
            "telephone_number": "501-354-3937",
            "fax_number": "501-354-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIE EYE CLINIC OF MORRILTON,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "MAGIE",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "501-652-0656",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C2717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.