Organization Active NPI

Siloam Eye Care

  • Optometrist
  • Siloam Springs, AR
National Provider Identifier
1457635385
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR2595 Issued in AR
Legal business name
SILOAM EYE CARE
Practice address
2901 Highway 412 E
Siloam Springs, AR 72761-8673
Phone
(479) 381-0086
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Daniel Landis
Title
Owner
Phone
(479) 381-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AR2595 AR Primary

Addresses

Primary practice location

2901 Highway 412 E
Siloam Springs, AR 72761-8673

Mailing address

PO Box 3010
Rogers, AR 72757-3010
Phone (479) 381-0086

National Provider Directory

National Provider Directory

Locations

2901 Highway 412 E
Siloam Springs, AR 72761
Phone (479) 238-0257

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1457635385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3010",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727573010",
            "telephone_number": "479-381-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 HIGHWAY 412 E",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618673",
            "telephone_number": "479-381-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-381-0086",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.