Active NPI
Simmons Eye Center
- Optometrist
- Marianna, AR
National Provider Identifier
1518974070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2390
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171900722 | Medicaid | AR | |
| 5G067 | Other | AR | MEDICARE GROUP |
| 5G067 | Other | AR | BC/BS GROUP |
National Provider Directory
National Provider DirectoryLocations
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.