Radiant Eye Care Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RADIANT EYE CARE OPTOMETRIC CORPORATION

Practice address

5653 Gateway Ave Apt D
Tontitown, AR 72762-3275

Phone

(479) 777-2697

Fax

(479) 763-3212

NPI assigned

Aug 25, 2019

Last updated

Mar 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Horne, ODNPI 1083027957

Title

Owner/Optometrist

Phone

(479) 777-2697

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

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.

• Andrea Kristine Horne, O.D.

  • Optometrist
  • Tontitown, AR
  • NPI 1083027957
  Medicare reassignment Care Compare group NPD Authorized official
• Aleece Marie Dietz, OD

  • Optometrist
  • Springdale, AR
  • NPI 1194415190
  Medicare reassignment Care Compare group NPD
• Ginny Carroll Schaffner, OD

  • Optometrist
  • San Diego, CA
  • NPI 1447747613

  AR

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1881241792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 CARLEY PL",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627420",
            "telephone_number": "479-531-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 GATEWAY AVE APT D",
            "city": "TONTITOWN",
            "state": "AR",
            "postal_code": "727623275",
            "telephone_number": "479-777-2697",
            "fax_number": "479-763-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT EYE CARE OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "479-777-2697",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kristine Horne, O.D.
• Suyapa Mariel Jackson, NP
• Let's Talk Lactation Co.
• Maximum Healthcare Group LLC
• Northwest Arkansas Functional Health LLC
• Kara Lee Rezsnyak, NBC-HWC
• Katheryne Riffle
• Rooted Pathways LLC
• Brent Rush
• Tillie Salazar, PT

• Optometrist in Tontitown, AR
• Providers in Tontitown, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.