Individual provider Active NPI

Gary C Richardson, O,D

  • Optometrist
  • North Little Rock, AR
National Provider Identifier
1639327000
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2164 Issued in AR
Practice address
404 Main St
North Little Rock, AR 72114-5328
Phone
(501) 374-3335
Fax
(501) 374-3369
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2164 AR Primary

Addresses

Primary practice location

404 Main St
North Little Rock, AR 72114-5328

Mailing address

404 Main St
North Little Rock, AR 72114-5328
Phone (501) 374-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2164ARMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1639327000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MAIN ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145328",
            "telephone_number": "501-374-3335",
            "fax_number": "501-374-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MAIN ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145328",
            "telephone_number": "501-374-3335",
            "fax_number": "501-374-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "GARY",
        "middle_name": "C",
        "credential": "O,D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.