Active NPI
Kimberly a. Owens, Optometric Physician, PA
- Optometrist
- Springdale, AR
National Provider Identifier
1861650186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AR2520
- Legal business name
- KIMBERLY A. OWENS, OPTOMETRIC PHYSICIAN, PA
- Practice address
- 1602 E Robinson Ave Ste M
Springdale, AR 72764-6045 - Phone
- (479) 750-9996
- NPI assigned
- May 23, 2008
- Last updated
- Jun 6, 2008
- Organization subpart
- Yes
- Parent organization
- KIMBERLY A. OWENS, OPTOMETRIC PHYSICIAN, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vera Williams
- Title
- Office Manager
- Phone
- (479) 750-9996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | AR2520 | AR | Primary |
Addresses
Primary practice location
1602 E Robinson Ave Ste M
Springdale, AR 72764-6045
Mailing address
1602 E Robinson Ave Ste M
Springdale, AR 72764-6045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154495722 | Medicaid | AR |
National Provider Directory
National Provider Directory- Part of
- Kimberly a Owens Optometric
Locations
1602 E Robinson Ave
Ste M
Springdale, AR 72764
Phone (479) 750-9996
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Springdale, AR
- NPI 1467444026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212710400000",
"number": "1861650186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 E ROBINSON AVE STE M",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727646045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 E ROBINSON AVE STE M",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727646045",
"telephone_number": "479-750-9996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY A. OWENS, OPTOMETRIC PHYSICIAN, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KIMBERLY A. OWENS, OPTOMETRIC PHYSICIAN, PA",
"enumeration_date": "2008-05-23",
"last_updated": "2008-06-06",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "VERA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "479-750-9996",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "AR2520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154495722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.