Eye Center, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CENTER, PA

Practice address

594 E Millsap Rd
Fayetteville, AR 72703-4096

Phone

(479) 442-2020

Fax

(479) 521-3988

NPI assigned

Sep 27, 2006

Last updated

Jul 16, 2013By 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

Mrs. Shaila R James, MBA

Title

Administrator

Phone

(479) 442-2020

Specialties & licenses 1

Addresses

Other names 1

• Eye Center, PA Other name

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 13

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.

• Craig J Brown, M.D.

  • Ophthalmology Physician
  • Fayetteville, AR
  • NPI 1881646198
  Medicare reassignment Care Compare group NPD
• Marcus Cooke, O.D.

  • Optometrist
  • Fayetteville, AR
  • NPI 1093076820
  Medicare reassignment Care Compare group NPD
• Andy Langston, OD, PA

  • Optometrist
  • Holiday Island, AR
  • NPI 1336112465
  Medicare reassignment Care Compare group NPD
• Patrick Risch

  • Ophthalmology Physician
  • Fayetteville, AR
  • NPI 1003104498
  Medicare reassignment Care Compare group NPD
• Jonathan F Shaver, O.D.

  • Optometrist
  • Fayetteville, AR
  • NPI 1790764454
  Medicare reassignment Care Compare group NPD
• Rebecca Jane Simmons Brown, OD

  • Optometrist
  • Fayetteville, AR
  • NPI 1023897253
  Medicare reassignment Care Compare group NPD
• Bradley Joel Taylor

  • Optometrist
  • Fayetteville, AR
  • NPI 1508360553
  Medicare reassignment Care Compare group NPD
• Kevin Keith Toller, MD

  • Ophthalmology Physician
  • Grove, OK
  • NPI 1457373466

  AR

  Medicare reassignment Care Compare group NPD
• Tamara Ann Morris, O.D.

  • Optometrist
  • Fayetteville, AR
  • NPI 1376594556
  Medicare reassignment NPD
• Kellye A Smith, M.D.

  • Ophthalmology Physician
  • Fayetteville, AR
  • NPI 1164473468
  Medicare reassignment NPD
• Kellie Crowl, NP-C

  • Family Nurse Practitioner
  • Dakota Dunes, SD
  • NPI 1548627375
  NPD (past)
• Jackson Charles Graham, OD

  • Optometrist
  • West Siloam Springs, OK
  • NPI 1497438493
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1629169727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 E MILLSAP RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034096",
            "telephone_number": "479-442-2020",
            "fax_number": "479-521-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 E MILLSAP RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034096",
            "telephone_number": "479-442-2020",
            "fax_number": "479-521-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SHAILA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-442-2020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Everydaymatters, LLC
• Evey Fortin LMT LLC (Evey Fortin LMT)
• Timothy Kenneth Evitt
• Jonathan Scott Ewin
• Donald C Ewing, M.D.
• Eyemart Express LLC
• Eyemart Express, LTD
• Richard Ivy Ezell, D.D.S.
• Sally Lynn Ezell
• Jennifer Faddis, MS, LPC

• Ophthalmology Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.