Bryant Vision Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRYANT VISION CLINIC LLC

Practice address

2213 N Reynolds Rd Ste 1
Bryant, AR 72022-2501

Phone

(731) 415-7918

NPI assigned

Apr 27, 2023

Organization subpart

No

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

Authorized official

Name

Paula Lane

Title

Office Manager

Phone

(501) 912-3540

Specialties & licenses 1

Addresses

Other names 1

• Bryant Vision Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelby Hames, O.D.

  • Optometrist
  • Bryant, AR
  • NPI 1013438050
  Medicare reassignment NPD

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1922796911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 N REYNOLDS RD STE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222501",
            "telephone_number": "501-500-5213",
            "fax_number": "501-232-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 N REYNOLDS RD STE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222501",
            "telephone_number": "731-415-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT VISION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-912-3540"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryant Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bryant Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryant Operations, LLC
• Bryant Psychology and Behavioral Health
• Bryant Public Schools
• Bryant School District
• Bryant SNF Operations LLC
• Larry P. Bryant, OPTICAN
• Catherine Buck, LPC
• Emily Buck, LMSW
• Rachel Glen Buck
• Finola Buckley, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.