Active NPI
Pleasant Valley Ophthalmology, PLLC
- Ophthalmology Physician
- Little Rock, AR
National Provider Identifier
1912949785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- PLEASANT VALLEY OPHTHALMOLOGY, PLLC
- Practice address
- 11825 Hinson Rd
Ste. 103
Little Rock, AR 72212-3404 - Phone
- (501) 223-3937
- Fax
- (501) 223-8656
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Diane Blair, M.D.
- Title
- Owner Physician
- Phone
- (501) 223-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
11825 Hinson Rd
Ste. 103
Little Rock, AR 72212-3404
Mailing address
11825 Hinson Rd
Ste. 103
Little Rock, AR 72212-3404
Phone (501) 223-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ3133 | Other | AR | RR MEDICARE GROUP # |
National Provider Directory
National Provider DirectoryLocations
11825 Hinson Rd
Ste 103
Little Rock, AR 72212
Phone (501) 223-3937
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Ophthalmology Physician
- Searcy, AR
- NPI 1902805534
-
- Ophthalmology Physician
- Little Rock, AR
- NPI 1104016484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414368000000",
"number": "1912949785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11825 HINSON RD",
"address_2": "STE. 103",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722123404",
"telephone_number": "501-223-3937",
"fax_number": "501-223-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11825 HINSON RD",
"address_2": "STE. 103",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722123404",
"telephone_number": "501-223-3937",
"fax_number": "501-223-8656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT VALLEY OPHTHALMOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2014-10-27",
"status": "A",
"authorized_official_last_name": "BLAIR",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "501-223-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP #",
"identifier": "CJ3133",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- George Brightson Platt, DDS
- Pleasant Valley Family Clinic
- Pleasant Valley Family Clinic
- Pleasant Valley Health and Rehab LLC (Encore Healthcare and Rehab of West Little Rock)
- Pleasant Valley Nursing LLC (Encore Healthcare and Rehabilitation of West Little Rock)
- Juanita Faye Plummer, LPN
- Patrick Lee Plummer, CRT
- Blake Williams Plyler
- Anna Juhasz Pocsi
- Paula M. Podrazik, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.