The Exclusive Eye, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2662 Issued in AR

Legal business name

THE EXCLUSIVE EYE, PLLC

Practice address

1810 N College Ave Ste 110
Fayetteville, AR 72703-2607

Phone

(479) 903-7393

Fax

(479) 802-6204

NPI assigned

Sep 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jessica L Dinwiddie, O.D.NPI 1174811970

Title

Managing Member

Phone

(479) 305-1571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lauren Dinwiddie, O.D.

  • Optometrist
  • Fayetteville, AR
  • NPI 1174811970
  Medicare reassignment NPD Authorized official
• Christen Jade Coats, OD, FAAO

  • Optometrist
  • Fayetteville, AR
  • NPI 1568812345
  NPD

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1801345426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N COLLEGE AVE STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032607",
            "telephone_number": "479-903-7393",
            "fax_number": "479-802-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N COLLEGE AVE STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032607",
            "telephone_number": "479-903-7393",
            "fax_number": "479-802-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXCLUSIVE EYE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "DINWIDDIE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "479-305-1571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.