Organization Active NPI

Harrell Eye Clinic PA

  • Optometrist
  • Jonesboro, AR
National Provider Identifier
1538345970
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR2082 Issued in AR
Legal business name
HARRELL EYE CLINIC PA
Practice address
1716 Executive SQ
Jonesboro, AR 72401-6092
Phone
(870) 932-3341
Fax
(870) 932-4636
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Machelle Annette Harp
Title
Office Manager
Phone
(870) 932-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AR2082 AR Primary

Addresses

Primary practice location

1716 Executive SQ
Jonesboro, AR 72401-6092

Mailing address

PO Box 16607
Jonesboro, AR 72403-6710
Phone (870) 932-3341

Other identifiers 1

IdentifierTypeStateIssuer
47954OtherARBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1716 Executive Sq
Jonesboro, AR 72401
Phone (870) 932-3341

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1538345970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16607",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036710",
            "telephone_number": "870-932-3341",
            "fax_number": "870-932-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 EXECUTIVE SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016092",
            "telephone_number": "870-932-3341",
            "fax_number": "870-932-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRELL EYE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "HARP",
        "authorized_official_first_name": "MACHELLE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-932-3341"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47954",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.