Brendon Cox OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRENDON COX OD, LLC

Doing business as

Farmington Eye Care

Practice address

68 E Main St
Farmington, AR 72730-3110

Phone

(479) 255-1010

Fax

(479) 255-1032

NPI assigned

May 1, 2020

Last updated

May 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brendon Ward Cox, ODNPI 1891211025

Title

Incorporator/Officer

Phone

(417) 489-5318

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Farmington Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brendon Cox, OD

  • Optometrist
  • Fayetteville, AR
  • NPI 1891211025
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1568083400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18688 N CREEK RD",
            "city": "LINCOLN",
            "state": "AR",
            "postal_code": "727448609",
            "telephone_number": "417-489-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 E MAIN ST",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727303110",
            "telephone_number": "479-255-1010",
            "fax_number": "479-255-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDON COX OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "INCORPORATOR/OFFICER",
        "authorized_official_telephone_number": "417-489-5318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891211025",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Raney Balch
• Cristy S Bartlett, LPC
• James Bennett, PTA
• Avery Billups
• Sherry Lynn Braslavsky, LCSW
• Robert Lee Brewer, DDS
• Kaylee Jo Bridges
• Micah Maelynn Brooks, PTA
• Mary Katelyn Brown
• Sydney Bueker

• Optometrist in Farmington, AR
• Providers in Farmington, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.