Active NPI
Landis Eye Care PLLC
- Optometrist
- Rogers, AR
National Provider Identifier
1699956888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2595
- Legal business name
- LANDIS EYE CARE PLLC
- Practice address
- 2110 W Walnut St
Suite 4
Rogers, AR 72756-3297 - Phone
- (479) 621-8391
- Fax
- (479) 621-0962
- NPI assigned
- Nov 16, 2007
- Last updated
- Oct 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katherine Landis, OD
- Title
- Optometrist
- Phone
- (479) 621-8391
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2595 | AR | Primary |
Addresses
Primary practice location
2110 W Walnut St
Suite 4
Rogers, AR 72756-3297
Mailing address
2110 W Walnut St
Suite 4
Rogers, AR 72756-3297
Phone (479) 621-8391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2901 Highway 412 E
Siloam Springs, AR 72761
Phone (479) 238-0257
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Optometrist
- Rogers, AR
- NPI 1902096589
-
- Optometrist
- Rogers, AR
- NPI 1588854343
-
- Optometrist
- Rogers, AR
- NPI 1053138230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602806400000",
"number": "1699956888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 W WALNUT ST",
"address_2": "SUITE 4",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563297",
"telephone_number": "479-621-8391",
"fax_number": "479-621-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 W WALNUT ST",
"address_2": "SUITE 4",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563297",
"telephone_number": "479-621-8391",
"fax_number": "479-621-0962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDIS EYE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-16",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A",
"authorized_official_last_name": "LANDIS",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "479-621-8391",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.