Arkansas Family Eyecare of Malvern

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ARKANSAS FAMILY EYECARE OF MALVERN

Doing business as

Justus Vision Center

Practice address

1023 S Main St
Malvern, AR 72104-5222

Phone

(501) 332-6262

Fax

(501) 337-0373

NPI assigned

Jul 25, 2018

Last updated

Jun 24, 2020By 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

Tasker Rodman III, ODNPI 1316926454

Title

Partner

Phone

(501) 225-9944

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Justus Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Locations

Practitioners 11

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.

• Tasker Newton Rodman II, O.D.

  • Optometrist
  • Bryant, AR
  • NPI 1316926454
  Medicare reassignment Care Compare group NPD Authorized official
• Angela Cho, O.D.

  • Optometrist
  • Sherwood, AR
  • NPI 1124400106
  Medicare reassignment Care Compare group NPD
• Bailey Zachry, OD

  • Optometrist
  • Little Rock, AR
  • NPI 1437805793
  Medicare reassignment Care Compare group NPD
• Curtis Zachry, OD

  • Optometrist
  • Sheridan, AR
  • NPI 1710654058
  Medicare reassignment Care Compare group NPD
• Thomas G Justus, OD

  • Optometrist
  • Malvern, AR
  • NPI 1831106996
  NPD
• Bryan Gardner Armstrong, O.D.

  • Optometrist
  • Bryant, AR
  • NPI 1730185588
  NPD (past)
• Justin Bailey Franks, O.D., .

  • Optometrist
  • Bryant, AR
  • NPI 1073564894
  NPD (past)
• Robyn Jeanette Hull, O.D.

  • Optometrist
  • Conway, AR
  • NPI 1255567657
  NPD (past)
• Katie Lea Johnson, O.D.

  • Optometrist
  • Little Rock, AR
  • NPI 1073826608
  NPD (past)
• Otha Wade Warren, OD

  • Optometrist
  • Searcy, AR
  • NPI 1295571487
  NPD (past)
• Justin Dean Atherton, O.D.

  • Optometrist
  • Black River Falls, WI
  • NPI 1316293525
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1902383631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 HURON LN STE 200A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111861",
            "telephone_number": "501-225-9944",
            "fax_number": "501-225-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045222",
            "telephone_number": "501-332-6262",
            "fax_number": "501-337-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS FAMILY EYECARE OF MALVERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "TASKER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "501-225-9944",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232911722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justus Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikayla Anderson, APRN
• Misty Anderson
• Appello Health and Wellness Clinic, LLC
• Arcare (ARcare73)
• Arkansas Elder Outreach of Little Rock, Inc. (Encore Healthcare and REhabilitation)
• Arkansas Health Group (Baptist Health Family Clinic Malvern)
• Arkansas Health Group (Baptist Health Specialty Clinic Malvern)
• Shanirria Armoster
• Lisa Arnold, APRN
• Tina Avington, HOUSEKEEPER/MHPP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.