Active NPI
Freedom Surgery Center
- Ophthalmologic Surgery Clinic/Center
- Fayetteville, AR
National Provider Identifier
1346372091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- AR4106
- Legal business name
- FREEDOM SURGERY CENTER
- Practice address
- 3733 N Business Dr
Fayetteville, AR 72703-5203 - Phone
- (479) 251-1016
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kay McCarley
- Title
- Accounts Manager
- Phone
- (479) 649-7018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | AR4106 | AR | Primary |
Addresses
Primary practice location
3733 N Business Dr
Fayetteville, AR 72703-5203
Mailing address
9001 Jenny Lind Rd
Fort Smith, AR 72908-8629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00074266 | Other | AR | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346372091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 JENNY LIND RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 N BUSINESS DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035203",
"telephone_number": "479-251-1016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCCARLEY",
"authorized_official_first_name": "KAY",
"authorized_official_title_or_position": "ACCOUNTS MANAGER",
"authorized_official_telephone_number": "479-649-7018"
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "AR",
"license": "AR4106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00074266",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.