NPIMap

Organization Active NPI

Justus Vision Center P.a.

  • Optometrist
  • Malvern, AR
National Provider Identifier
1447435698
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2312 Issued in AR
Legal business name
JUSTUS VISION CENTER P.A.
Practice address
1023 S Main St
Malvern, AR 72104-5222
Phone
(501) 332-6262
Fax
(501) 337-0373
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Mrs. Pam A Stanley, O.D.
Title
President/Owner
Phone
(501) 332-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2312 AR Primary

Addresses

Primary practice location

1023 S Main St
Malvern, AR 72104-5222

Mailing address

1023 S Main St
Malvern, AR 72104-5222
Phone (501) 332-6262

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://justusvisioncenter.ef.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1447435698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045222",
            "telephone_number": "501-332-6262",
            "fax_number": "501-337-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045222",
            "telephone_number": "501-332-6262",
            "fax_number": "501-337-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTUS VISION CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "501-332-6262",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.