Individual provider Active NPI

Andrew Freeman Perin, M.D.

  • Ophthalmology Physician
  • North Little Rock, AR
National Provider Identifier
1912266404
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E-9627 Issued in AR
Practice address
4104 Richards Rd
North Little Rock, AR 72117-2652
Phone
(501) 224-5658
Fax
(501) 224-8114
NPI assigned
May 3, 2012
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E-9627 AR Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 2017-00305 NC

Addresses

Primary practice location

4104 Richards Rd
North Little Rock, AR 72117-2652

Mailing address

201 Executive CT Ste a
Little Rock, AR 72205-4536
Phone (501) 224-5658

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
I20160628001806 AR Practitioner - Ophthalmology 4082931373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Rock Eye Clinic LLPGroup PAC ID 3476535121, 17 clinicians

Practice addresses (Care Compare)

201 Executive CT
Suite a
Little Rock, AR 72205-4536
Phone (501) 224-5658

4104 Richards Rd
North Little Rock, AR 72117-2652
Phone (501) 224-5658

4200 N Rodney Parham Rd
101 Little Rock Eye Clinic West
Little Rock, AR 72212-2458
Phone (501) 224-5658

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery274

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9627ARMDOphthalmology Physician
2017-00305NCMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2016 Accepting new patients
University of Arkansas for Medical Sciences Ophthalmology Current Accepting new patients
Little Rock Eye Clinic, LLP Ophthalmology CurrentSince May 1, 2018 Accepting new patients

Locations

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

201 Executive Ct
Ste A
Little Rock, AR 72205
Phone (501) 224-5658

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

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

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

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

4104 Richards Rd
North Little Rock, AR 72117
Phone (501) 224-5658

4104 Richards Rd
Ste A
North Little Rock, AR 72117

Organizations & group practices 3

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1912266404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE CT STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054536",
            "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": "4104 RICHARDS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172652",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIN",
        "first_name": "ANDREW",
        "middle_name": "FREEMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E-9627",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NC",
            "license": "2017-00305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.