Individual provider Active NPI

Carol W Chappell, MD

  • Ophthalmology Physician
  • Little Rock, AR
National Provider Identifier
1275529851
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C4804 Issued in AR
Practice address
5 Saint Vincent Cir
Ste 200
Little Rock, AR 72205-5412
Phone
(501) 661-1123
Fax
(501) 661-0046
NPI assigned
Sep 20, 2005
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C4804 AR Primary

Addresses

Primary practice location

5 Saint Vincent Cir
Ste 200
Little Rock, AR 72205-5412

Mailing address

5 Saint Vincent Cir
Ste 200
Little Rock, AR 72205-5412
Phone (501) 661-1123

Other identifiers 2

IdentifierTypeStateIssuer
14216000000OtherQUAL CHOICCOFAR
50981OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C4804ARMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Ophthalmology Associates, P.a. Ophthalmology CurrentSince Jun 16, 2008 Accepting new patients
Carol Chappel Optical PastSince Jan 19, 2001 Accepting new patients

Locations

5 Saint Vincent Cir
Ste 200
Little Rock, AR 72205
Phone (501) 661-1123

500 S University Ave
Ste 515
Little Rock, AR 72205
Phone (501) 661-1123

Organizations & group practices 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1275529851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR",
            "address_2": "STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055412",
            "telephone_number": "501-661-1123",
            "fax_number": "501-661-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR",
            "address_2": "STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055412",
            "telephone_number": "501-661-1123",
            "fax_number": "501-661-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "CAROL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C4804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICCOFAR",
            "identifier": "14216000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50981",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.