Active NPI
CJMH, LLC
- Optometrist
- Osceola, AR
National Provider Identifier
1902339831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CJMH, LLC
- Practice address
- 102 Plantation Dr.
Osceola, AR 72370 - Phone
- (870) 563-3596
- Fax
- (870) 563-1239
- NPI assigned
- Apr 7, 2017
- Organization subpart
- Yes
- Parent organization
- CJMH, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kamri Herndon, O.D.
- Title
- Owner
- Phone
- (870) 333-1087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
102 Plantation Dr.
Osceola, AR 72370
Mailing address
800 Professional Acres Dr.
Jonesboro, AR 72401
Phone (870) 333-1087
Other names 1
- Arkansas Eye Site
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Cjmhllc
Locations
116 Nathan St
Marked Tree, AR 72365
Phone (870) 358-2236
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Jonesboro, AR
- NPI 1497169247
-
- Optometrist
- Jonesboro, AR
- NPI 1750397675
-
- Optometrist
- Jonesboro, AR
- NPI 1972517662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1902339831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PROFESSIONAL ACRES DR.",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-333-1087",
"fax_number": "870-333-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PLANTATION DR.",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "72370",
"telephone_number": "870-563-3596",
"fax_number": "870-563-1239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CJMH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CJMH, LLC",
"enumeration_date": "2017-04-07",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HERNDON",
"authorized_official_first_name": "KAMRI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-333-1087",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arkansas Eye Site",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Arkansas Eye Site",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Osceola, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.