Organization Active NPI

Envision Eye Care

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1316405269
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ENVISION EYE CARE
Practice address
8801 Baseline Rd
Little Rock, AR 72209-5901
Phone
(501) 225-5580
NPI assigned
Mar 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Dr. Thien Van, ODNPI 1316177454
Title
Owner/ O.D.
Phone
(501) 278-0128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8801 Baseline Rd
Little Rock, AR 72209-5901

Mailing address

7519 Palm Beach Ave
Benton, AR 72019-2009
Phone (501) 278-0128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190401000445 AR Part B Supplier - Clinic/Group Practice 2860733870 Receives reassigned benefits from 2 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

8801 Baseline Rd
Little Rock, AR 72209
Phone (501) 565-1164

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1316405269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 PALM BEACH AVE",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192009",
            "telephone_number": "501-278-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 BASELINE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722095901",
            "telephone_number": "501-225-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "THIEN",
        "authorized_official_title_or_position": "OWNER/ O.D.",
        "authorized_official_telephone_number": "501-278-0128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.