The Eye Doctor LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2413 Issued in AR

Legal business name

THE EYE DOCTOR LLC

Practice address

9300 Brockington Rd
Sherwood, AR 72120

Phone

(501) 753-3000

Fax

(501) 833-8311

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kymberly V Devitt, O.D.NPI 1205815974

Title

Officer

Phone

(501) 766-4488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Kymberly Devitt, O.D.

  • Optometrist
  • Sherwood, AR
  • NPI 1205815974
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1669744371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 BROCKINGTON RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "72120",
            "telephone_number": "501-753-3000",
            "fax_number": "501-833-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 BROCKINGTON RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "72120",
            "telephone_number": "501-753-3000",
            "fax_number": "501-833-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "DEVITT",
        "authorized_official_first_name": "KYMBERLY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "501-766-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunity Kantrell Taylor
• Jacqueline Kaye Taylor, DPT
• Summer Teague
• Alex Taylor Tessman, PT, DPT
• The Ardent-Maverick Group, Inc.
• The Legacy for Children and Families
• The Pediatric Clinic of NLR, P.a.
• Therapy of Arkansas
• Thomas Ward MD Inc
• Graci Elizabeth Thomas

• Optometrist in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.