Organization Active NPI

Freedom Eye Care Inc

  • Optometrist
  • Bentonville, AR
National Provider Identifier
1427540152
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR2477 Issued in AR
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
John Brett Mills, ODNPI 1902104227
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.