Individual provider Active NPI

Edwin Hankins III, MD

  • Ophthalmology Physician
  • Little Rock, AR
National Provider Identifier
1891770012
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C4383 Issued in AR
Practice address
4200 N Rodney Parham Rd
Ste 101
Little Rock, AR 72212-2461
Phone
(501) 687-0800
Fax
(501) 687-0801
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C4383 AR Primary

Addresses

Primary practice location

4200 N Rodney Parham Rd
Ste 101
Little Rock, AR 72212-2461

Mailing address

9800 Lile Dr
Ste 400
Little Rock, AR 72205-6229
Phone (501) 224-5658

Other identifiers 1

IdentifierTypeStateIssuer
104060001MedicaidAR

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000793 AR Practitioner - Ophthalmology 6800931635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C4383ARMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rock Eye Clinic, LLP Ophthalmology CurrentSince Jan 1, 2009 Accepting new patients
Little Rock Eye Clinic, LLP Ophthalmology Past Accepting new patients

Locations

500 S University Ave
Ste 119
Little Rock, AR 72205
Phone (501) 664-6400

4200 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 224-5658

4200 N Rodney Parham Rd
Ste 101
Little Rock, AR 72212
Phone (501) 224-5658

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1891770012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 LILE DR",
            "address_2": "STE 400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056229",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N RODNEY PARHAM RD",
            "address_2": "STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122461",
            "telephone_number": "501-687-0800",
            "fax_number": "501-687-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "EDWIN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C4383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104060001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.