Dr J. Richard Carver, PA
Organization Active NPI Optometrist · Mena, AR
NPI 1497984231 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1497984231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2033 (AR)
- Legal business name
- DR J. RICHARD CARVER, PA
- Practice address
- 601 Maple Ave
Mena, AR 71953-3227 - Phone
- (479) 394-2020
- Fax
- (479) 394-2137
- NPI assigned
- Jul 14, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. James Richard Carver, O.D., P.A.
- Title
- Doctor
- Phone
- (479) 394-2020
National Provider Directory
Locations
601 Maple Ave
Mena, AR 71953
Phone (479) 216-1172
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2033 | AR | Yes |
Addresses
Primary practice location
601 Maple Ave
Mena, AR 71953-3227
Mailing address
601 Maple Ave
Mena, AR 71953-3227
Phone (479) 394-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103818722 | Medicaid | AR | |
| 47664 | Other | AR | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN) |
Other providers in Mena, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.