Individual provider Active NPI

Marcus Chase Law, O.D.

  • Optometrist
  • Sherwood, AR
National Provider Identifier
1558774588
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2720 Issued in AR
Practice address
3004 E Kiehl Ave
Sherwood, AR 72120-3228
Phone
(501) 835-7800
Fax
(501) 835-5060
NPI assigned
Jun 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2816 OK
Optometrist 152W00000X 2720 AR Primary

Addresses

Primary practice location

3004 E Kiehl Ave
Sherwood, AR 72120-3228

Mailing address

3004 E Kiehl Ave
Sherwood, AR 72120-3228
Phone (501) 835-7800

Other practice location 1

15424 Arch St Ste F
Little Rock, AR 72206-5461
Phone (501) 888-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151202002323 AR Practitioner - Optometry 5193945335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye ClinicGroup PAC ID 0042221434, 3 clinicians

Practice addresses (Care Compare)

3004 E Kiehl Ave
Sherwood, AR 72120-3228
Phone (501) 835-7800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2816OKMDMental Health Counselor
2720ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Clinic Optometrist CurrentSince Mar 1, 2018 Accepting new patients
Dr. Bryant Ashley, Jr. Optometrist PastSince Feb 2, 2021 Accepting new patients

Locations

15424 Arch St
Ste F
Little Rock, AR 72206
Phone (501) 888-7533

3418 Camp Robinson Rd
North Little Rock, AR 72118
Phone (501) 758-1015

3004 E Kiehl Ave
Sherwood, AR 72120
Phone (501) 791-3076

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1558774588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203228",
            "telephone_number": "501-835-7800",
            "fax_number": "501-835-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203228",
            "telephone_number": "501-835-7800",
            "fax_number": "501-835-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15424 Arch St Ste F",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722065461",
            "country_code": "US",
            "telephone_number": "501-888-7533",
            "fax_number": "501-888-8016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAW",
        "first_name": "MARCUS",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2816",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.