Organization Active NPI

Dry Eye Center of Arkansas

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1942152061
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRY EYE CENTER OF ARKANSAS
Practice address
500 S University Ave Ste 702
Little Rock, AR 72205-5309
Phone
(501) 508-2660
Fax
(501) 916-4904
NPI assigned
Feb 11, 2026
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Dr. Shelby Rae Brogdon, ODNPI 1174009500
Title
Optometrist/Owner
Phone
(501) 508-2660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

500 S University Ave Ste 702
Little Rock, AR 72205-5309

Mailing address

500 S University Ave Ste 702
Little Rock, AR 72205-5309
Phone (501) 508-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260522000181 AR Part B Supplier - Clinic/Group Practice 8022588896 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1942152061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 702",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055309",
            "telephone_number": "501-508-2660",
            "fax_number": "501-916-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 702",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055309",
            "telephone_number": "501-508-2660",
            "fax_number": "501-916-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRY EYE CENTER OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "501-508-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.