C & R Eye Group, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2077 Issued in AR

Legal business name

C & R EYE GROUP, PA

Doing business as

George Haas Eye Clinic

Practice address

3004 E Kiehl Ave
Sherwood, AR 72120-3228

Phone

(501) 835-7800

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Kristina Siebert

Title

Insurance Manager

Phone

(501) 835-7800

Specialties & licenses 1

Addresses

Other names 1

• George Haas Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• C & R Eye Group PA

  • Optometrist
  • Hot Springs, AR
  • NPI 1356616940

  O20120420000015

  Same enrollment

Locations

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1336578822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203228",
            "telephone_number": "501-835-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & R EYE GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "501-835-7800"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George Haas Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Renae Burnett, BSE - DYSLEXIA K-12
• Laranda Burrow, S.L.P.
• Analei Ash Burton
• Breyona Butler
• Jamauria Jakla Byrd
• Linda Carol Caldwell, OTRL
• Crystal Calhoun
• Capable Hands Home Care LLC
• Angelo Justin Caparas, OT
• Samantha Leanne Cardin

• Optometrist in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.