Iiii Optical - Bryant LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

IIII OPTICAL - BRYANT LLC

Practice address

319 Bryant Ave Ste 1
Bryant, AR 72022-3817

Phone

(501) 653-2010

Fax

(501) 847-3734

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Amy Offutt

Title

Controller

Phone

(870) 536-4100

Specialties & licenses 1

Addresses

Practitioners 1

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

• Byron N Wilkes, M.D.

  • Ophthalmology Physician
  • Pine Bluff, AR
  • NPI 1710101977
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1801471396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 W 28TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034774",
            "telephone_number": "870-536-4100",
            "fax_number": "870-534-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BRYANT AVE STE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223817",
            "telephone_number": "501-653-2010",
            "fax_number": "501-847-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IIII OPTICAL - BRYANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "OFFUTT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "870-536-4100"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Bryant, AR
• Providers in Bryant, AR by specialty
• Eyewear Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.