Dr. E. L. McDonnell P.a

Primary specialty

OptometristTaxonomy code 152W00000X

License

2124 Issued in AR

Legal business name

DR. E. L. MCDONNELL P.A

Practice address

220 N Pine Street
Magnolia, AR 71753-2905

Phone

(870) 234-4444

Fax

(870) 234-0420

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward L. McDonnell, O.D., P.A.

Title

Optometrist

Phone

(870) 234-4444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1497878540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N PINE",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532905",
            "telephone_number": "870-234-4444",
            "fax_number": "870-234-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PINE STREET",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532905",
            "telephone_number": "870-234-4444",
            "fax_number": "870-234-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. E. L. MCDONNELL P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "870-234-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., P.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110154022",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.