Organization Active NPI

Simmons Eye Center

  • Optometrist
  • Marianna, AR
National Provider Identifier
1518974070
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2390 Issued in AR
Legal business name
SIMMONS EYE CENTER
Practice address
219 W Chestnut St
Marianna, AR 72360-2212
Phone
(870) 295-3636
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Jonathan Simmons, OPTOMETRIST
Title
Owner Optometrist
Phone
(870) 295-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2390 AR Primary

Addresses

Primary practice location

219 W Chestnut St
Marianna, AR 72360-2212

Mailing address

219 W. Chestnut
Marianna, AR 72360
Phone (870) 295-3636

Other identifiers 3

IdentifierTypeStateIssuer
171900722MedicaidAR
5G067OtherARMEDICARE GROUP
5G067OtherARBC/BS GROUP

National Provider Directory

National Provider Directory

Locations

205 Deadrick Rd
Forrest City, AR 72335
Phone (870) 494-4830

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1518974070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W. CHESTNUT",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "72360",
            "telephone_number": "870-295-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W CHESTNUT ST",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602212",
            "telephone_number": "870-295-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "870-295-3636",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171900722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "5G067",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "5G067",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.