NPIMap

Organization Active NPI

Eye Group, LLC

  • Ophthalmology Physician
  • Fort Smith, AR
National Provider Identifier
1366414187
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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.NPI 1467424374
Title
President
Phone
(479) 782-8892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

7901 Dallas Street
Fort Smith, AR 72903-4281

Mailing address

7901 Dallas St
Fort Smith, AR 72903-4281
Phone (479) 782-8892

Other practice location 1

3000 Rogers Ave
Fort Smith, AR 72901-4232
Phone (479) 782-8892

Other practice location 2

3000 Rogers Ave
Fort Smith, AR 72901-4232
Phone (479) 782-8892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041228000494 AR Part B Supplier - Clinic/Group Practice 8921066697 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Smith, AR
O20100930089077 AR DME Supplier - Physician - Ophthalmology 8921066697 Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory
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.

Locations

3000 Rogers Ave
Fort Smith, AR 72901
Phone (479) 459-6528

Practitioners & affiliated clinicians

Practitioners 5

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • 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.