Iiii Optical Baptist

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

IIII OPTICAL BAPTIST

Practice address

9800 Baptist Health Dr Ste 301
Little Rock, AR 72205-6230

Phone

(501) 225-4488

Fax

(501) 225-9299

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

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• James Robert Hoffmann, MD

  • Ophthalmology Physician
  • Pine Bluff, AR
  • NPI 1043570757
  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": "1871178350",
    "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": "9800 BAPTIST HEALTH DR STE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056230",
            "telephone_number": "501-225-4488",
            "fax_number": "501-225-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IIII OPTICAL BAPTIST",
        "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": []
}

• Ideal Health MD, PLLC
• Shihab Yousef Idris, MD
• Nnamdi Kenechukwu Ifediora, MD
• Ih Physician Services 2, PC
• Iiii Optical - the Valley LLC
• Fakhar Ijaz, MD
• Chimaobi Ezekial Ijioma, M.D.
• Nami Ikawa, DPT
• Michael Ikiliagwu
• Ann Ada Ikonne, MD

• Eyewear Supplier in Little Rock, AR
• Providers in Little Rock, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.