Magie Mabrey Eye Clinic, P a

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

MAGIE MABREY EYE CLINIC, P A

Practice address

924 Main St
Conway, AR 72032

Phone

(501) 327-4444

Fax

(501) 327-3962

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Cheryl Lynn Peters

Title

Office Manager

Phone

(501) 327-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Milton Hughes, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Little Rock, AR
  • NPI 1184633075
  Medicare reassignment Care Compare group NPD
• Alice Kennedy, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Conway, AR
  • NPI 1396130555

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Cedric Pratt, DO

  • Retina Specialist (Ophthalmology) Physician
  • Little Rock, AR
  • NPI 1235345414
  Medicare reassignment Care Compare group NPD
• Riley N Sanders, MD

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1790147155

  Retina Specialist

  Medicare reassignment Care Compare group NPD
• John King, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Little Rock, AR
  • NPI 1255350021
  Medicare reassignment Care Compare group NPD (past)
• Stephen James Davis, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Little Rock, AR
  • NPI 1326256918
  Medicare reassignment Care Compare group
• Stephen Kyle Magie, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Conway, AR
  • NPI 1306820360
  Medicare reassignment NPD

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1588648992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 MAIN ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325424",
            "telephone_number": "501-327-4444",
            "fax_number": "501-327-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MAIN ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-327-4444",
            "fax_number": "501-327-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIE MABREY EYE CLINIC, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-327-4444"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102200002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Faye Madden
• Sydney Lee Madden, MSN, APRN, FNP-BC
• Holley Cecile Madding, OTR/L
• Madeas Family Home Care
• Wendy A Magbanua
• Magie Smith Charton Eye Clinic PA
• Lindsay Marie Magie, OTR/L. MS
• Stephen Kyle Magie, M.D.
• Magnolia Mental Health Clinic PLLC
• Ashleigh Mahan, CASE MANAGER PARAPRO

• Retina Specialist (Ophthalmology) Physician in Conway, AR
• Providers in Conway, AR by specialty
• Retina Specialist (Ophthalmology) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.