Active NPI
Schroeder Optical
- Eyewear Supplier
- Little Rock, AR
National Provider Identifier
1336300730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- R1935
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104633001 | Medicaid | AR |
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.
-
- Ophthalmology Physician
- Little Rock, AR
- NPI 1457553869
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.