Specialty Eyecare of South Arkansas LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C7907 Issued in AR

Legal business name

SPECIALTY EYECARE OF SOUTH ARKANSAS LLC

Practice address

301 Highway 425 S
Monticello, AR 71655-4611

Phone

(870) 367-8534

Fax

(870) 367-0264

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Scott Cavin Claycomb, M.D.

Title

Owner

Phone

(870) 367-8534

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22695/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1508006438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554611",
            "telephone_number": "870-367-8534",
            "fax_number": "870-367-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554611",
            "telephone_number": "870-367-8534",
            "fax_number": "870-367-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY EYECARE OF SOUTH ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "CLAYCOMB",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-367-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2158",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C7907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Arkansas Pharmacies LLC (The Prescription Pad Pharmacy)
• Southeast Clinic (Jefferson Management Services, Inc.d/b/a Southeast Clinic)
• Southeast Education Service Coop
• Southeast Emergency Medical Service, Inc
• Southern Roots Medical Essentials
• Charles M Spellmann, PHD
• Anita Mariette Spence, LPN
• Christopher Spencer
• Latasha Renee Spencer
• Sydney McKay Sprawls

• Ophthalmology Physician in Monticello, AR
• Providers in Monticello, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.