Organization Active NPI

Royal Eye Care

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1831708890
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROYAL EYE CARE
Practice address
4300 Rogers Ave Ste 46
Fort Smith, AR 72903-3152
Phone
(479) 785-0010
Fax
(479) 783-8478
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dr. Lawrence Allen King III, ODNPI 1568024230
Title
Owner
Phone
(479) 785-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4300 Rogers Ave Ste 46
Fort Smith, AR 72903-3152

Mailing address

4300 Rogers Ave Ste 46
Fort Smith, AR 72903-3152
Phone (479) 785-0010

Other names 1

  • Royal Eye Care Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200811001636 AR Part B Supplier - Clinic/Group Practice 2163848953 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

4300 Rogers Ave
Ste 46
Fort Smith, AR 72903
Phone (479) 785-0010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1831708890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE STE 46",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033152",
            "telephone_number": "479-785-0010",
            "fax_number": "479-783-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE STE 46",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033152",
            "telephone_number": "479-785-0010",
            "fax_number": "479-783-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-785-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Eye Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.