Individual provider Active NPI

Kathryn Leeann Brown, O.D.

  • Optometrist
  • Maumelle, AR
National Provider Identifier
1881958437
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2681 Issued in AR
Practice address
115 Audubon Dr.
Ste 8
Maumelle, AR 72113-7409
Phone
(501) 803-3962
Fax
(501) 803-3962
NPI assigned
Jun 28, 2012
Last updated
Sep 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2909 CO
Optometrist 152W00000X 2681 AR Primary

Addresses

Primary practice location

115 Audubon Dr.
Ste 8
Maumelle, AR 72113-7409

Mailing address

115 Audubon Dr.
Ste 8
Maumelle, AR 72113-7409
Phone (501) 803-3962

Other names 1

  • Kathryn Leeann Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000195 AR Practitioner - Optometry 2163665274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mike S. McFarland MdpaGroup PAC ID 5092708495, 14 clinicians

Practice addresses (Care Compare)

3604 Central Ave
Suite a
Hot Springs, AR 71913-6458
Phone (501) 318-1111

3805 W 28TH Ave
Pine Bluff, AR 71603-4774
Phone (870) 536-4100

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 526-7619

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2681ARMDOptometrist
2909COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Oct 7, 2013 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 7, 2013 Accepting new patients
Mike S McFarland Mdpa CurrentSince Apr 1, 2026 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Mike S McFarland Mdpa CurrentSince Apr 1, 2026 Accepting new patients
Derek S Long OD, Inc Optometrist Past Accepting new patients
McFarland Optical Inc Past Accepting new patients

Locations

10700 N Rodney Parham Rd
Ste C1A
Little Rock, AR 72212
Phone (501) 293-3626

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#624
Little Rock, AR 72205
Phone (501) 526-7619

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

102 Towne Centre Dr
Ste 1
Maumelle, AR 72113
Phone (501) 803-3937

312 W Pershing Blvd
North Little Rock, AR 72114
Phone (501) 753-3145

3805 W 28th Ave
Pine Bluff, AR 71603
Phone (870) 536-4100

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1881958437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 AUDUBON DR.",
            "address_2": "STE 8",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137409",
            "telephone_number": "501-803-3962",
            "fax_number": "501-803-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AUDUBON DR.",
            "address_2": "STE 8",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137409",
            "telephone_number": "501-803-3962",
            "fax_number": "501-803-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHRYN",
        "middle_name": "LEEANN",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2909",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "SMITH",
            "middle_name": "LEEANN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maumelle, AR

Sources for this page

Verify at the official NPI Registry.