Individual provider Active NPI

Julie M Dolven, O.D.

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1639467426
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2663 Issued in AR
Practice address
17711 Chenal Pkwy
Space I-117
Little Rock, AR 72223-5808
Phone
(501) 687-0826
NPI assigned
Jul 14, 2011
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2663 AR Primary

Addresses

Primary practice location

17711 Chenal Pkwy
Space I-117
Little Rock, AR 72223-5808

Mailing address

17711 Chenal Pkwy
Ste I117
Little Rock, AR 72223-5810
Phone (870) 623-6221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000275 AR Practitioner - Optometry 8426228479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julie M Dolven OD PAGroup PAC ID 9830415884, 2 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2663ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie M Dolven, OD PA Optometrist CurrentSince Feb 5, 2015 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1639467426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17711 CHENAL PKWY",
            "address_2": "STE I117",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235810",
            "telephone_number": "870-623-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17711 CHENAL PKWY",
            "address_2": "SPACE I-117",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235808",
            "telephone_number": "501-687-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLVEN",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.