Organization Active NPI

Dr. Perry Lee Amerine, PA

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1427370022
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2257 Issued in AR
Legal business name
DR. PERRY LEE AMERINE, PA
Practice address
11401 Financial Centre Pkwy Ste 102a
Little Rock, AR 72211-3760
Phone
(501) 219-0202
Fax
(501) 219-0203
NPI assigned
Feb 23, 2010
Last updated
Feb 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Perry Lee Amerine, ODNPI 1841259116
Title
President
Phone
(501) 219-0202

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)CodeLicenseStatePrimary
Optometrist 152W00000X 2257 AR Primary

Addresses

Primary practice location

11401 Financial Centre Pkwy Ste 102a
Little Rock, AR 72211-3760

Mailing address

11401 Financial Centre Pkwy Ste 102a
Little Rock, AR 72211-3760
Phone (501) 219-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100224000390 AR Part B Supplier - Clinic/Group Practice 2567506892 Receives reassigned benefits from 12 practitioners
Practice locations: Little Rock, AR; North Little Rock, AR

National Provider Directory

National Provider Directory
Tax ID family
Amerine Eye Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

11401 Financial Centre Pkwy
Ste 102A
Little Rock, AR 72211
Phone (501) 219-0202

301 N Shackleford Rd
Ste G3
Little Rock, AR 72211
Phone (501) 217-9355

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1427370022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 FINANCIAL CENTRE PKWY STE 102A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113760",
            "telephone_number": "501-219-0202",
            "fax_number": "501-219-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 FINANCIAL CENTRE PKWY STE 102A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113760",
            "telephone_number": "501-219-0202",
            "fax_number": "501-219-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PERRY LEE AMERINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "AMERINE",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-219-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.