Organization Active NPI

Cvo-Bryant, LLC

Doing business as Crystal Vision Optical

  • Optometrist
  • Benton, AR
National Provider Identifier
1801340633
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002633 Issued in AR
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.