Active NPI
Leslie Reeves, O.D.
- Optometrist
- Bryant, AR
National Provider Identifier
1871762963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2606
- Practice address
- 400 Bryant Ave
Bryant, AR 72022-3813 - Phone
- (501) 847-6677
- Fax
- (501) 847-6372
- NPI assigned
- Feb 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2606 | AR | Primary |
Addresses
Primary practice location
400 Bryant Ave
Bryant, AR 72022-3813
Mailing address
400 Bryant Ave
Bryant, AR 72022-3813
Phone (501) 847-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2606 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1871762963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BRYANT AVE",
"city": "BRYANT",
"state": "AR",
"postal_code": "720223813",
"telephone_number": "501-847-6677",
"fax_number": "501-847-6372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BRYANT AVE",
"city": "BRYANT",
"state": "AR",
"postal_code": "720223813",
"telephone_number": "501-847-6677",
"fax_number": "501-847-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.