Central Arkansas Ophthalmology

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CENTRAL ARKANSAS OPHTHALMOLOGY

Practice address

5300 W. Markham
Little Rock, AR 72205-3528

Phone

(501) 664-5354

Fax

(501) 664-5257

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David R Rozas, M.D.NPI 1043289101

Title

President

Phone

(501) 664-5354

Specialties & licenses 1

Addresses

Other names 1

• Blandford Eye Care & Surgery Former legal business name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Blandford Eye Care Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blandford Eyecare & Surgery

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1992714521
  NPD tax ID

Practitioners 3

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

• David R Rozas, M.D.

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1043289101
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine H Baltz, M.D.

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1225006497
  Medicare reassignment Care Compare group NPD
• Edward M Penick III, M.D.

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1962449892
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1396809679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053528",
            "telephone_number": "501-664-5354",
            "fax_number": "501-664-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053528",
            "telephone_number": "501-664-5354",
            "fax_number": "501-664-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "ROZAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-664-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blandford Eye Care & Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Central Arkansas Gastroenterology Clinic, PA
• Central Arkansas Home Care
• Central Arkansas Infusion Specialist LLC
• Central Arkansas Lasik
• Central Arkansas Medical Partners, PLLC
• Central Arkansas Psychological Services
• Central Arkansas Psychotherapy LLC
• Central Arkansas Radiation Therapy Institute
• Central Arkansas Radiation Therapy Institute Inc
• Central Arkansas Radiation Therapy Institute Inc

• Ophthalmology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.