Organization Active NPI

Jim Sharp MD

  • Optometrist
  • Fayetteville, AR
National Provider Identifier
1568540573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
C-4526 Issued in AR
Legal business name
JIM SHARP MD
Practice address
103 W Colt Square Dr
Fayetteville, AR 72703-2835
Phone
(479) 521-4949
Fax
(479) 521-4966
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jim D Sharp, M.D.
Title
Ophthalmologist
Phone
(479) 521-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X C-4526 AR Primary

Addresses

Primary practice location

103 W Colt Square Dr
Fayetteville, AR 72703-2835

Mailing address

103 W Colt Square Dr
Fayetteville, AR 72703-2835
Phone (479) 521-4949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568540573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W COLT SQUARE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032835",
            "telephone_number": "479-521-4949",
            "fax_number": "479-521-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W COLT SQUARE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032835",
            "telephone_number": "479-521-4949",
            "fax_number": "479-521-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM SHARP MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "479-521-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "C-4526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.