Active NPI
Eye Group, LLC
- Eyewear Supplier
- Van Buren, AR
National Provider Identifier
1720208580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 2345
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0317710004 | Other | AR | DMERC MEDICARE |
National Provider Directory
National Provider DirectoryNPI 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.