Active NPI
Lydia Lane Dworkin, M.D. PA
Doing business as Hot Springs Eye Care
- Specialist
- Hot Springs, AR
National Provider Identifier
1386859411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E4078
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033112420 | Other | AR | NPI NUMBER TYPE 1 |
Other names 1
- Hot Springs Eye Care
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Little Rock, AR
- NPI 1033112420
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.