Gulley Vision Clinic, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2075 Issued in AR

Legal business name

GULLEY VISION CLINIC, P.A.

Practice address

404 Louisiana St
Little Rock, AR 72201-3702

Phone

(501) 375-8271

Fax

(501) 375-8272

NPI assigned

Dec 7, 2010

Organization subpart

No

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

Authorized official

Name

Miss Donna Loftis

Title

Office Manager

Phone

(501) 375-8271

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1952604308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LOUISIANA ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013702",
            "telephone_number": "501-375-8271",
            "fax_number": "501-375-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LOUISIANA ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013702",
            "telephone_number": "501-375-8271",
            "fax_number": "501-375-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULLEY VISION CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "LOFTIS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-375-8271",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104316722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "47930",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Grace Guillot, MD
• Jennifer S Guimbellot, M.D., PH.D.
• Joseph Guise, MD
• Manoja Gullapalli, MBBS
• Donna Lynn Gullette, APN, ACNP-BC
• Deandrick Gulley
• Kristina Gulley, MHPP
• Thomas H Gulley, OD
• Willie Gulley
• Sangeetha Gummalla, MD

• Optometrist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.