Conway Eye Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2272 Issued in AR

Legal business name

CONWAY EYE CENTER

Practice address

1155 Hwy 65 North
Conway, AR 72032

Phone

(501) 328-9500

Fax

(501) 328-5300

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John B Witherspoon, O.D.

Title

Owner

Phone

(501) 328-9500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1447549373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 HWY 65 NORTH",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-328-9500",
            "fax_number": "501-328-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 HWY 65 NORTH",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-328-9500",
            "fax_number": "501-328-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "WITHERSPOON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-328-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106399722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conway Dental Center PLLC
• Conway Digestive Health Center, Inc.
• Conway Emergency Physicians, P.a. (Wound Care Clinic)
• Conway Emergency Physicians, P.a.
• Conway Endoscopy Center, Inc.
• Conway Family Medical Care PA
• Conway Gastroenterology, PA
• Conway Group, P.L.L.C (ConArk Health Care)
• Conway Heart Clinic PLLC
• Conway Hematology Oncology

• Optometrist in Conway, AR
• Providers in Conway, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.