Active NPI
Freedom Eye Care Inc
- Optometrist
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AR2477
- Legal business name
- FREEDOM EYE CARE INC
- Practice address
- 3500 SE Club Blvd
Bentonville, AR 72712-5182 - Phone
- (479) 636-4300
- Fax
- (479) 636-4434
- NPI assigned
- May 30, 2018
- Last updated
- May 30, 2018
- 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
- John Brett Mills, OD
- Title
- Owner
- Phone
- (479) 636-4300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | AR2477 | AR | Primary |
Addresses
Primary practice location
3500 SE Club Blvd
Bentonville, AR 72712-5182
Mailing address
3500 SE Club Blvd
Bentonville, AR 72712-5182
Phone (479) 636-4300
National Provider Directory
National Provider DirectoryLocations
3500 SE Club Blvd
Bentonville, AR 72712
Phone (479) 621-0283
Practitioners & affiliated clinicians
Practitioners 1
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
- Bentonville, AR
- NPI 1902104227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527638400000",
"number": "1427540152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 SE CLUB BLVD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125182",
"telephone_number": "479-636-4300",
"fax_number": "479-636-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SE CLUB BLVD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125182",
"telephone_number": "479-636-4300",
"fax_number": "479-636-4434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM EYE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "BRETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-636-4300",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "AR2477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.