Deer Eye Clinic PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R-1735 Issued in AR

Legal business name

DEER EYE CLINIC PA

Doing business as

Deer Eye Clinic PA
Deer Penick Eye Clinic

Practice address

4942 W. Markham
Little Rock, AR 72205

Phone

(501) 224-4701

Fax

(501) 224-1003

NPI assigned

Dec 1, 2006

Last updated

Jul 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip James Deer III, M.D.NPI 1467052456

Title

Doctor

Phone

(501) 224-4701

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Deer Eye Clinic PA Doing business as
• Deer Penick Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: hskinner@deereye.intellechartdirect.net
• Direct secure messaging: pdeer@deereye.intellechartdirect.net

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Deer Optical

  • Eyewear Supplier
  • Little Rock, AR
  • NPI 1437471588
  NPPES parent name

Practitioners 5

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.

• Philip J Deer III, M.D.

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1508803487
  Medicare reassignment Care Compare group NPD
• Holley Elizabeth Skinner, OD

  • Optometrist
  • Sheridan, AR
  • NPI 1851777445
  Medicare reassignment Care Compare group NPD
• Philip James Deer IV, PHARM.D.

  • Pharmacist
  • North Little Rock, AR
  • NPI 1467052456
  NPD Authorized official
• Mary Preator, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1477292340
  NPD
• David R Rozas, M.D.

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1043289101
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1396813945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-224-4701",
            "fax_number": "501-224-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4942 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-224-4701",
            "fax_number": "501-224-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER EYE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "DEER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "501-224-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "R-1735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111409002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Eye Clinic PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deer Penick Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deen Psychological Services LLC
• Douglas Deen, MSPT
• Taylor Honeycutt Deen, PHARMD
• Tisha Lee Deen, PHD
• Deep River Anesthesia LLC
• Deer Optical
• Deer Optical
• Philip J Deer III, M.D.
• Betty Deere, LCSW
• Jessica Dees

• 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 17, 2019; 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.