Active NPI
Sandra Lee Mitchell
- Optician
- North Little Rock, AR
National Provider Identifier
1801123450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- L-980326
- Practice address
- 3929 McCain Blvd
13 & 14
North Little Rock, AR 72116-8011 - Phone
- (501) 758-3700
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | L-980326 | AR | Primary |
Addresses
Primary practice location
3929 McCain Blvd
13 & 14
North Little Rock, AR 72116-8011
Mailing address
3929 McCain Blvd
13 & 14
North Little Rock, AR 72116
Phone (501) 758-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-980326 | AR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1801123450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3929 MCCAIN BLVD",
"address_2": "13 & 14",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "72116",
"telephone_number": "501-758-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 MCCAIN BLVD",
"address_2": "13 & 14",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721168011",
"telephone_number": "501-758-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SANDRA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AR",
"license": "L-980326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.