Organization Active NPI

Lydia Lane Dworkin, M.D. PA

Doing business as Hot Springs Eye Care

  • Specialist
  • Hot Springs, AR
National Provider Identifier
1386859411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E4078 Issued in AR
Legal business name
LYDIA LANE DWORKIN, M.D. PA
Doing business as
Hot Springs Eye Care
Practice address
402 W Grand Ave
Hot Springs, AR 71901-5354
Phone
(501) 624-1204
Fax
(501) 624-6800
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Renata L. Hrdlicka
Title
Practice Administrator
Phone
(501) 624-1204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E4078 AR Primary

Addresses

Primary practice location

402 W Grand Ave
Hot Springs, AR 71901-5354

Mailing address

402 W Grand Ave
Hot Springs, AR 71901-5354
Phone (501) 624-1204

Other identifiers 1

IdentifierTypeStateIssuer
1033112420OtherARNPI NUMBER TYPE 1

Other names 1

  • Hot Springs Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

402 W Grand Ave
Hot Springs, AR 71901
Phone (501) 624-1204

Practitioners & affiliated clinicians

Practitioners 1

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386859411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W GRAND AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719015354",
            "telephone_number": "501-624-1204",
            "fax_number": "501-624-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W GRAND AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719015354",
            "telephone_number": "501-624-1204",
            "fax_number": "501-624-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA LANE DWORKIN, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HRDLICKA",
        "authorized_official_first_name": "RENATA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "501-624-1204",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E4078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER TYPE 1",
            "identifier": "1033112420",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hot Springs Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.