Active NPI
Cvo-Bryant, LLC
Doing business as Crystal Vision Optical
- Optometrist
- Benton, AR
National Provider Identifier
1801340633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002633
- Legal business name
- CVO-BRYANT, LLC
- Doing business as
- Crystal Vision Optical
- Practice address
- 20770 I 30
Suite 135
Benton, AR 72019-8022 - Phone
- (501) 794-6911
- NPI assigned
- Aug 10, 2016
- Last updated
- Aug 31, 2016
- 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
- Cliffton Wayne Ridings, OD
- Title
- Owner
- Phone
- (501) 794-6911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002633 | AR | Primary |
Addresses
Primary practice location
20770 I 30
Suite 135
Benton, AR 72019-8022
Mailing address
20770 I 30
Suite 135
Benton, AR 72019-8022
Phone (501) 794-6911
Other names 1
- Crystal Vision Optical
National Provider Directory
National Provider DirectoryLocations
20770 I 30
Ste 135
Benton, AR 72019
Phone (501) 316-4098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1801340633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20770 I 30",
"address_2": "SUITE 135",
"city": "BENTON",
"state": "AR",
"postal_code": "720198022",
"telephone_number": "501-794-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20770 I 30",
"address_2": "SUITE 135",
"city": "BENTON",
"state": "AR",
"postal_code": "720198022",
"telephone_number": "501-794-6911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVO-BRYANT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-10",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "RIDINGS",
"authorized_official_first_name": "CLIFFTON",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-794-6911",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "002633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crystal Vision Optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.