Dr. Penny's Eye Care Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. PENNY'S EYE CARE INC.

Practice address

5501 S Olive St
Pine Bluff, AR 71603-7607

Phone

(870) 536-2200

Fax

(870) 534-7362

NPI assigned

Dec 22, 2020

Last updated

Apr 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Penny Freshour, ODNPI 1518016435

Title

Optometrist/Owner

Phone

(501) 940-9796

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Penny Freshour, O.D.

  • Optometrist
  • Little Rock, AR
  • NPI 1518016435
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1316534506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 GLENN HILL DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720029405",
            "telephone_number": "501-940-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S OLIVE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037607",
            "telephone_number": "870-536-2200",
            "fax_number": "870-534-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Bowman Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113617",
            "country_code": "US",
            "telephone_number": "501-904-5009",
            "fax_number": "501-217-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. PENNY'S EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "FRESHOUR",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "501-940-9796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Dookhan, MD
• Dorothy Harris (Pine Bluff Optical Company)
• Silakhone Douangkesone, MD
• Misty Ann Douthit
• Dr Glen D Brown Jr PLC
• Jonda L Drake, BS, MHPP
• Drew Toole, D.D.S., P. a.
• Drews Early Learning Inc
• Laura Elizabeth Drinkwater, MS, RD, LD
• Drug Room Inc

• Optometrist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.