Iiii Optical - the Valley LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

IIII OPTICAL - THE VALLEY LLC

Practice address

17200 Chenal Pkwy Ste 440
Little Rock, AR 72223-5970

Phone

(501) 830-2020

Fax

(501) 830-2021

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Amy Offutt

Title

Controller

Phone

(870) 536-4100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Donald Gauldin Jr., MD

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1871912204
  NPD (past)
• Teri K. Whittaker I, OD

  • Optometrist
  • Bryant, AR
  • NPI 1982615977
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1437734936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 W 28TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034774",
            "telephone_number": "870-536-4100",
            "fax_number": "870-534-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 CHENAL PKWY STE 440",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235970",
            "telephone_number": "501-830-2020",
            "fax_number": "501-830-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 N Rodney Parham Rd Ste C-1A",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722124191",
            "country_code": "US",
            "telephone_number": "501-830-2020",
            "fax_number": "501-830-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IIII OPTICAL - THE VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "OFFUTT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "870-536-4100"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Anne Iandolo
• Ideal Health MD, PLLC
• Shihab Yousef Idris, MD
• Nnamdi Kenechukwu Ifediora, MD
• Ih Physician Services 2, PC
• Iiii Optical Baptist
• Fakhar Ijaz, MD
• Chimaobi Ezekial Ijioma, M.D.
• Nami Ikawa, DPT
• Michael Ikiliagwu

• Eyewear Supplier in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Eyewear Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.