Little Rock Eye Clinic, LLP

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LITTLE ROCK EYE CLINIC, LLP

Practice address

4104 Richards Rd
North Little Rock, AR 72117-2652

Phone

(501) 224-5658

Fax

(501) 224-8114

NPI assigned

Mar 9, 2016

Last updated

Oct 16, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

LITTLE ROCK EYE CLINIC, LLPAs reported in NPPES

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

Authorized official

Name

Dr. Tracy Baltz, M.D.NPI 1881679033

Title

Physician/Owner

Phone

(501) 224-5658

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Little Rock Eye Clinic, LLP

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1992764914

  3476535121

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Little Rock Eye Clinic LLP3 organizations share this tax ID, including this one

Part of

Little Rock Eye Clinic LLP

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Little Rock Eye Clinic, LLP

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1174737365
  NPD tax ID
• Little Rock Eye Clinic, LLP

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1992764914
  NPD tax ID

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.

• Tracy C Baltz, MD

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1881679033
  Authorized official Same address or phone

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1588025191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE CT",
            "address_2": "SUITE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054536",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 RICHARDS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172652",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK EYE CLINIC, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE ROCK EYE CLINIC, LLP",
        "enumeration_date": "2016-03-09",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "BALTZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "501-224-5658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Lipschitz, MD
• Alexis Lipscomb
• Lisa Academy
• Little Rock Dialysis Centers LLC (North Little Rock Dialysis Center)
• Little Rock Dialysis, Inc. (Arkansas Dialysis)
• Little Rock Neurosurgery Clinic
• Little Rock Physical Medicine & Rehabilitation (Thomas M. Ward, MD)
• Little Rock Vamc
• Little Rock Vamc
• Addison Littlejohn

• Ophthalmology Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.