Organization Active NPI

Schroeder Optical

  • Eyewear Supplier
  • Little Rock, AR
National Provider Identifier
1336300730
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
R1935 Issued in AR
Legal business name
SCHROEDER OPTICAL
Practice address
9600 Lile Dr Ste 260
Little Rock, AR 72205-6373
Phone
(501) 224-4484
Fax
(501) 221-3031
NPI assigned
Jun 19, 2008
Organization subpart
Yes
Parent organization
GEORGE SCHROEDER, M.D. P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
George Schroeder, M.D.
Title
President
Phone
(501) 224-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X R1935 AR Primary

Addresses

Primary practice location

9600 Lile Dr Ste 260
Little Rock, AR 72205-6373

Mailing address

9600 Lile Dr Ste 260
Little Rock, AR 72205-6373
Phone (501) 224-4484

Other identifiers 1

IdentifierTypeStateIssuer
104633001MedicaidAR

National Provider Directory

National Provider Directory
Part of
George Schroeder MD PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1336300730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 LILE DR STE 260",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056373",
            "telephone_number": "501-224-4484",
            "fax_number": "501-221-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 LILE DR STE 260",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056373",
            "telephone_number": "501-224-4484",
            "fax_number": "501-221-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHROEDER OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGE SCHROEDER, M.D. P.A.",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-224-4484",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AR",
            "license": "R1935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104633001",
            "state": "AR"
        }
    ],
    "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 Jul 18, 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.

Verify at the official NPI Registry.