Active NPI
Harrell Eye Clinic PA
- Optometrist
- Jonesboro, AR
National Provider Identifier
1538345970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AR2082
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47954 | Other | AR | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.