Organization Active NPI

The Laser Center

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1508069493
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2585 Issued in AR
Legal business name
THE LASER CENTER
Practice address
10809 Executive Center Dr
Ste 201
Little Rock, AR 72211-4353
Phone
(501) 588-0072
NPI assigned
Jun 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dawn Holsted Upshaw, O.D.
Title
Regional Manager
Phone
(405) 842-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2585 AR Primary

Addresses

Primary practice location

10809 Executive Center Dr
Ste 201
Little Rock, AR 72211-4353

Mailing address

104 Nixon LN
Austin, AR 72007-0938
Phone (501) 941-0291

National Provider Directory

National Provider Directory
Tax ID family
The Laser Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10809 Executive Center Dr
Ste 201
Little Rock, AR 72211
Phone (501) 588-0072

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508069493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NIXON LN",
            "city": "AUSTIN",
            "state": "AR",
            "postal_code": "720070938",
            "telephone_number": "501-941-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10809 EXECUTIVE CENTER DR",
            "address_2": "STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114353",
            "telephone_number": "501-588-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UPSHAW",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "HOLSTED",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "405-842-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.