Organization Active NPI

Conway Optometry Associates PLLC

  • Optometrist
  • Conway, AR
National Provider Identifier
1891100236
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2644 Issued in AR
Legal business name
CONWAY OPTOMETRY ASSOCIATES PLLC
Practice address
3900 Dave Ward Dr
Conway, AR 72034-5583
Phone
(479) 856-9344
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Robyn Hull, O.D.
Title
Owner
Phone
(479) 856-9344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2644 AR Primary

Addresses

Primary practice location

3900 Dave Ward Dr
Conway, AR 72034-5583

Mailing address

129 N Woodland Dr
Conway, AR 72032-9162

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1891100236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N WOODLAND DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720329162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DAVE WARD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345583",
            "telephone_number": "479-856-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY OPTOMETRY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-856-9344",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.