Arkansas Oculoplastic Surgery, PLLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

ARKANSAS OCULOPLASTIC SURGERY, PLLC

Practice address

9800 Baptist Health Dr Ste 500
Little Rock, AR 72205-6243

Phone

(501) 223-2244

Fax

(501) 223-2231

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Jo Ann McCormack

Title

Billing Coordinator

Phone

(501) 223-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Wade Dale Brock, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Little Rock, AR
  • NPI 1609885805
  Medicare reassignment NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1396852901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 BAPTIST HEALTH DR STE 500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056243",
            "telephone_number": "501-223-2244",
            "fax_number": "501-223-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BAPTIST HEALTH DR STE 500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056243",
            "telephone_number": "501-223-2244",
            "fax_number": "501-223-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS OCULOPLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "501-223-2244"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160405002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arkansas Neurology & Epilepsy Center PA
• Arkansas Neuropsychology Associates
• Arkansas Neurosurgery Brain & Spine Clinic P.a.
• Arkansas Neurosurgery Brain & Spine Clinic P.a.
• Arkansas OB GYN Associates PLLC
• Arkansas Oncology Associates
• Arkansas Oncology Associates
• Arkansas Ophthalmology Associates, P.a.
• Arkansas Osteopractic PLLC
• Arkansas Ostomy, Inc

• Ophthalmic Plastic and Reconstructive Surgery Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.