Organization Active NPI

Kimberly a. Owens, Optometric Physician, PA

  • Optometrist
  • Springdale, AR
National Provider Identifier
1861650186
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR2520 Issued in AR
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
KIMBERLY A. OWENS, OPTOMETRIC PHYSICIAN, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
154495722MedicaidAR

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.

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.

Verify at the official NPI Registry.