Arkansas Outpatient Eye Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AR4369 Issued in AR

Legal business name

ARKANSAS OUTPATIENT EYE SURGERY LLC

Practice address

3689 N Steele Blvd
Fayetteville, AR 72703-5347

Phone

(479) 249-6006

Fax

(479) 287-4294

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Phil Palmer

Title

Administrator

Phone

(479) 249-6006

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McDonald Eye Associates Surgery and Lasik Center Other name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

Arkansas Outpatient Eye Surgery LLCCCN 04C0001068

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• James Edward McDonald II, MD

  • Ophthalmology Physician
  • Fayetteville, AR
  • NPI 1518961465
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1386737021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 N STEELE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035347",
            "telephone_number": "479-249-6006",
            "fax_number": "479-287-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 N STEELE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035347",
            "telephone_number": "479-249-6006",
            "fax_number": "479-287-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS OUTPATIENT EYE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-249-6006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR4369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163179128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonald Eye Associates Surgery and Lasik Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "McDonald Eye Associates Surgery and Lasik Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Ambulatory Surgical Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.