Active NPI
Wayne Provines, O. D.
- Occupational Vision Optometrist
- Little Rock AFB, AR
National Provider Identifier
1376506543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- 9256
- Practice address
- 314 MDG/Sgo, 1090 Arnold Dr
Little Rock AFB, AR 72099-0001 - Phone
- (501) 987-8702
- NPI assigned
- Apr 10, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | 9256 | AR | Primary |
Addresses
Primary practice location
314 MDG/Sgo, 1090 Arnold Dr
Little Rock AFB, AR 72099-0001
Mailing address
2812 Gray Fox LN
Jacksonville, AR 72076-2629
Phone (501) 985-1185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9256 | AR | MD | Occupational Vision Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376506543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 GRAY FOX LN",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720762629",
"telephone_number": "501-985-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 MDG/SGO, 1090 ARNOLD DR",
"city": "LITTLE ROCK AFB",
"state": "AR",
"postal_code": "720990001",
"telephone_number": "501-987-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVINES",
"first_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "AR",
"license": "9256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock AFB, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.