Active NPI
Family Eye Care Center
- Optometrist
- Camden, AR
National Provider Identifier
1528094240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- PC-048
- Legal business name
- FAMILY EYE CARE CENTER
- Practice address
- 515 Cash Rd SW
Camden, AR 71701-3706 - Phone
- (870) 836-2525
- Fax
- (870) 836-7252
- NPI assigned
- Jun 24, 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
- Dr. Thomas Dedman, O.D., P.A.
- Title
- President
- Phone
- (870) 836-2525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | PC-048 | AR | Primary |
Addresses
Primary practice location
515 Cash Rd SW
Camden, AR 71701-3706
Mailing address
515 Cash Rd SW
Camden, AR 71701-3706
Phone (870) 836-2525
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D415431885029 | Other | AR | WAUSAU |
| 895624 | Other | AR | BLOCK VISION |
| 49224 | Other | AR | AR BCBS MEDIPAK |
| 49224 | Other | AR | HEALTH ADVANTAGE |
| 49224 | Other | AR | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1528094240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CASH RD SW",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717013706",
"telephone_number": "870-836-2525",
"fax_number": "870-836-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 CASH RD SW",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717013706",
"telephone_number": "870-836-2525",
"fax_number": "870-836-7252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY EYE CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "DEDMAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-836-2525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D., P.A."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AR",
"license": "PC-048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAUSAU",
"identifier": "D415431885029",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "895624",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS MEDIPAK",
"identifier": "49224",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE",
"identifier": "49224",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "49224",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.