Active NPI
Bryant Eyecare Clinic
- Optometrist
- Bryant, AR
National Provider Identifier
1407047897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BRYANT EYECARE CLINIC
- Practice address
- 2900 Horizon Dr
Suite 15
Bryant, AR 72022 - Phone
- (501) 653-2020
- Fax
- (501) 653-7407
- NPI assigned
- Aug 9, 2007
- Last updated
- Jun 24, 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
- Tasker Rodman, O.D.
- Title
- Partner/Provider
- Phone
- (501) 225-9944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
2900 Horizon Dr
Suite 15
Bryant, AR 72022
Mailing address
11225 Huron LN Ste 200a
Little Rock, AR 72211-1861
Phone (501) 653-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166735722 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2900 Horizon Dr
Ste 15
Bryant, AR 72022
Phone (501) 653-2020
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Optometrist
- Bryant, AR
- NPI 1316926454
-
- Optometrist
- Bryant, AR
- NPI 1730185588
-
- Optometrist
- Sheridan, AR
- NPI 1851777445
-
- Optometrist
- Bryant, AR
- NPI 1982615977
-
- Optometrist
- Bryant, AR
- NPI 1740107796
-
- Optometrist
- Bryant, AR
- NPI 1073564894
-
- Optometrist
- Little Rock, AR
- NPI 1528371150
-
- Optometrist
- Camden, AR
- NPI 1265446793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592956800000",
"number": "1407047897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11225 HURON LN STE 200A",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111861",
"telephone_number": "501-653-2020",
"fax_number": "501-653-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 HORIZON DR",
"address_2": "SUITE 15",
"city": "BRYANT",
"state": "AR",
"postal_code": "72022",
"telephone_number": "501-653-2020",
"fax_number": "501-653-7407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYANT EYECARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A",
"authorized_official_last_name": "RODMAN",
"authorized_official_first_name": "TASKER",
"authorized_official_title_or_position": "PARTNER/PROVIDER",
"authorized_official_telephone_number": "501-225-9944",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166735722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.