Organization Active NPI

Eye Physicians & Surgeons

  • Optometrist
  • Jacksonville, AR
National Provider Identifier
1861690737
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE PHYSICIANS & SURGEONS
Practice address
21 Crestview PLZ
Jacksonville, AR 72076-4341
Phone
(501) 985-0616
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charlotte Purifoy
Title
Office Manager
Phone
(501) 985-0616

Specialties & licenses 1

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

Addresses

Primary practice location

21 Crestview PLZ
Jacksonville, AR 72076-4341

Mailing address

21 Crestview PLZ
Jacksonville, AR 72076-4341
Phone (501) 985-0616

National Provider Directory

National Provider Directory
Tax ID family
Eye Physicians and Surgeons PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21 Crestview Plz
Jacksonville, AR 72076
Phone (501) 985-0616

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861690737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CRESTVIEW PLZ",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764341",
            "telephone_number": "501-985-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CRESTVIEW PLZ",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764341",
            "telephone_number": "501-985-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS & SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PURIFOY",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-985-0616"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.