Eye Group, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE GROUP, LLC

Practice address

7901 Dallas Street
Fort Smith, AR 72903-4281

Phone

(479) 782-8892

Fax

(479) 782-8840

NPI assigned

Feb 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert B Knox, M.D.

Title

President

Phone

(479) 782-8892

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Tax ID family

Eye Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Group, LLC

  • Optometrist
  • Fort Smith, AR
  • NPI 1154394617
  NPD tax ID
• Optical Shop

  • Eyewear Supplier
  • Fort Smith, AR
  • NPI 1992884829
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgan Yandell, OD

  • Optometrist
  • Fort Smith, AR
  • NPI 1366127318
  Medicare reassignment Care Compare group NPD
• Blake Norton Geren, M.D.

  • Ophthalmology Physician
  • Fort Smith, AR
  • NPI 1063448405
  Medicare reassignment Care Compare group
• Claire B Price, M.D.

  • Ophthalmology Physician
  • Fort Smith, AR
  • NPI 1841262730
  Medicare reassignment Care Compare group
• Ronny Bowman, O.D.

  • Optometrist
  • NPI 1881830107
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1366414187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034281",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DALLAS STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034281",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014232",
            "country_code": "US",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014232",
            "country_code": "US",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-782-8892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128041002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5B728",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100768130B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RALIROAD MEDICARE",
            "identifier": "CQ2384",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Everitt-Smith, PHD, PT
• Executive Park Surgery Center of Fort Smith, Inc
• Executive Park Surgery Center, LLC
• Eye Group, LLC
• Eye Group, LLC
• Eye Group, LLC
• Eyemart Express LLC
• Eyemart Express, LTD.
• Adaeze Bubbles Eze, M.D.
• Demetria Byonca Fails, LMT

• Ophthalmology Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.