Organization Active NPI

Julie M Dolven, OD PA

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1609267160
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2663 Issued in AR
Legal business name
JULIE M DOLVEN, OD PA
Practice address
17711 Chenal Pkwy Ste I117
Little Rock, AR 72223-5810
Phone
(501) 687-0826
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Dr. Julie M Dolven, O.D.NPI 1639467426
Title
Optometric Physician
Phone
(870) 623-6221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2663 AR Primary

Addresses

Primary practice location

17711 Chenal Pkwy Ste I117
Little Rock, AR 72223-5810

Mailing address

17711 Chenal Pkwy Ste I117
Little Rock, AR 72223-5810
Phone (501) 687-0826

Other names 1

  • James Eyecare and Optics Gallery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150310000861 AR Part B Supplier - Clinic/Group Practice 9830415884 Receives reassigned benefits from 2 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1609267160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17711 CHENAL PKWY STE I117",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235810",
            "telephone_number": "501-687-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17711 CHENAL PKWY STE I117",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235810",
            "telephone_number": "501-687-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE M DOLVEN, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "DOLVEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "870-623-6221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James Eyecare and Optics Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.