Arkansas Family Eyecare of Searcy
Organization Active NPI Optometrist · Searcy, AR
NPI 1508093436 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1508093436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ARKANSAS FAMILY EYECARE OF SEARCY
- Practice address
- 1225 W Beebecapps Expy
Searcy, AR 72143-5421 - Phone
- (501) 268-5808
- Fax
- (501) 305-3370
- NPI assigned
- Jun 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Tasker N Rodman II, O.D.
- Title
- Partner
- Phone
- (501) 225-9944
Practitioners 7
-
Amanda D Crum, O.D.
-
Otha Wade Warren, OD
-
Tasker Newton Rodman II, O.D.
-
Spencer Havel, OD
-
Bryan Gardner Armstrong, O.D.
-
Justin Bailey Franks, O.D., .
-
Ronnie M McMinn, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091006000550 | AR | Part B Supplier - Clinic/Group Practice | 0648316596 |
Receives reassigned benefits from 3 practitioners Practice locations: Searcy, AR |
| O20111013000679 | AR | DME Supplier - Physician - Optometrist | 0648316596 | Practice locations: Searcy, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1225 W Beebecapps Expy
Searcy, AR 72143-5421
Mailing address
11225 Huron LN
Suite 200a
Little Rock, AR 72211-1859
Phone (501) 225-9944
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189726722 | Medicaid | AR |
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.