Organization Active NPI

Eye Associates Leasing Company Incorporated

Doing business as Boozman-Hof Optical

  • Eyewear Supplier
  • Bella Vista, AR
National Provider Identifier
1922077304
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE ASSOCIATES LEASING COMPANY INCORPORATED
Doing business as
Boozman-Hof Optical
Practice address
25 Cunningham Cor
Bella Vista, AR 72714-3520
Phone
(479) 246-1730
Fax
(479) 936-8799
NPI assigned
Mar 16, 2006
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mr. Randal E. Cole, M.D.
Title
President/Ceo
Phone
(479) 246-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

25 Cunningham Cor
Bella Vista, AR 72714-3520

Mailing address

3737 W Walnut St
Rogers, AR 72756-1839
Phone (479) 246-1730

Other identifiers 1

IdentifierTypeStateIssuer
101176716MedicaidAR

Other names 1

  • Boozman-Hof Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1922077304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561839",
            "telephone_number": "479-246-1730",
            "fax_number": "479-936-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CUNNINGHAM COR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143520",
            "telephone_number": "479-246-1730",
            "fax_number": "479-936-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES LEASING COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "479-246-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101176716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boozman-Hof Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.