NPIMap

Organization Active NPI

Ridgeway Eye Care, PLLC

  • Optometrist
  • Cabot, AR
National Provider Identifier
1356651749
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2590 Issued in AR
Legal business name
RIDGEWAY EYE CARE, PLLC
Practice address
304 S Rockwood Dr
Cabot, AR 72023-2881
Phone
(501) 941-3933
Fax
(501) 941-3112
NPI assigned
Oct 19, 2010
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Dr. Kendra C Ridgeway, O.D.
Title
Optometrist/Sole Owner
Phone
(501) 941-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2590 AR Primary

Addresses

Primary practice location

304 S Rockwood Dr
Cabot, AR 72023-2881

Mailing address

304 S Rockwood Dr
Cabot, AR 72023-2881
Phone (501) 941-3933

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1356651749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S ROCKWOOD DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232881",
            "telephone_number": "501-941-3933",
            "fax_number": "501-941-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S ROCKWOOD DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232881",
            "telephone_number": "501-941-3933",
            "fax_number": "501-941-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWAY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST/SOLE OWNER",
        "authorized_official_telephone_number": "501-941-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.