Organization Active NPI

Adams Eye Care Clinic, P.a.

  • Optometrist
  • Morrilton, AR
National Provider Identifier
1508801721
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
PC099 Issued in AR
Legal business name
ADAMS EYE CARE CLINIC, P.A.
Practice address
103 N Saint Joseph St
Morrilton, AR 72110-2915
Phone
(501) 354-1610
Fax
(501) 354-1013
NPI assigned
Jun 19, 2006
Last updated
Dec 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Dr. William Larry Adams, O.D.NPI 1588633648
Title
Owner
Phone
(501) 354-1610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X PC099 AR Primary

Addresses

Primary practice location

103 N Saint Joseph St
Morrilton, AR 72110-2915

Mailing address

103 N Saint Joseph St
PO Box 107
Morrilton, AR 72110-2915
Phone (501) 354-1610

Other identifiers 1

IdentifierTypeStateIssuer
141445722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000224 AR Part B Supplier - Clinic/Group Practice 5890870711 Receives reassigned benefits from 2 practitioners
Practice locations: Morrilton, AR

National Provider Directory

National Provider Directory

Locations

103 N Saint Joseph St
Morrilton, AR 72110
Phone (501) 354-1610

Practitioners & affiliated clinicians

Practitioners 3

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1508801721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N SAINT JOSEPH ST",
            "address_2": "PO BOX 107",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102915",
            "telephone_number": "501-354-1610",
            "fax_number": "501-354-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N SAINT JOSEPH ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102915",
            "telephone_number": "501-354-1610",
            "fax_number": "501-354-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS EYE CARE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-354-1610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "PC099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141445722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.