Organization Active NPI

Schluterman Eye Care & Optical Inc

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1376973164
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2612 Issued in AR
Legal business name
SCHLUTERMAN EYE CARE & OPTICAL INC
Practice address
9220 Highway 71 S
Suite 10
Fort Smith, AR 72916-9117
Phone
(479) 646-2555
Fax
(479) 434-4140
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Dr. Adam Schluterman, OD
Title
Owner
Phone
(479) 646-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2612 AR Primary

Addresses

Primary practice location

9220 Highway 71 S
Suite 10
Fort Smith, AR 72916-9117

Mailing address

9220 Highway 71 S
Suite 10
Fort Smith, AR 72916-9117
Phone (479) 646-2555

Other identifiers 2

IdentifierTypeStateIssuer
179593722MedicaidAR
200256320MedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1376973164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 HIGHWAY 71 S",
            "address_2": "SUITE 10",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169117",
            "telephone_number": "479-646-2555",
            "fax_number": "479-434-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 HIGHWAY 71 S",
            "address_2": "SUITE 10",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169117",
            "telephone_number": "479-646-2555",
            "fax_number": "479-434-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHLUTERMAN EYE CARE & OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "SCHLUTERMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-646-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179593722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200256320",
            "state": "OK"
        }
    ],
    "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 Nov 15, 2013; 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.