Organization Active NPI

Eye Group, LLC

  • Eyewear Supplier
  • Van Buren, AR
National Provider Identifier
1720208580
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2345 Issued in AR
Legal business name
EYE GROUP, LLC
Practice address
825 Fayetteville Rd
Van Buren, AR 72956-3422
Phone
(479) 782-8892
Fax
(479) 782-8840
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Dr. Robert Knox
Title
President
Phone
(479) 782-8892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2345 AR Primary

Addresses

Primary practice location

825 Fayetteville Rd
Van Buren, AR 72956-3422

Mailing address

3000 Rogers Ave
Fort Smith, AR 72901-4232
Phone (479) 782-8892

Other identifiers 1

IdentifierTypeStateIssuer
0317710004OtherARDMERC MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1720208580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014232",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729563422",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-782-8892",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AR",
            "license": "2345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC MEDICARE",
            "identifier": "0317710004",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.