Organization Active NPI

Michael O Norris OD PA

  • Optometrist
  • Wynne, AR
National Provider Identifier
1932395308
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2236 Issued in AR
Legal business name
MICHAEL O NORRIS OD PA
Practice address
619 Canal Ave E
Wynne, AR 72396-3003
Phone
(870) 238-7973
Fax
(870) 238-7974
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Michael O Norris, O.D.
Title
President
Phone
(870) 238-7973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2236 AR Primary

Addresses

Primary practice location

619 Canal Ave E
Wynne, AR 72396-3003

Mailing address

PO Box 1132
Wynne, AR 72396-1132
Phone (870) 238-7973

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1932395308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961132",
            "telephone_number": "870-238-7973",
            "fax_number": "870-238-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 CANAL AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963003",
            "telephone_number": "870-238-7973",
            "fax_number": "870-238-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O NORRIS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-238-7973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.