Active NPI
Family Eyecare Center Inc
- Optometrist
- Fordyce, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2570
- Legal business name
- FAMILY EYECARE CENTER INC
- Practice address
- 312 N Spring St
Fordyce, AR 71742-3318 - Phone
- (870) 352-2167
- Fax
- (870) 352-8883
- NPI assigned
- Aug 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry Randall Nutt Jr., OD
- Title
- Owner
- Phone
- (870) 352-2167
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2570 | AR | Primary |
Addresses
Primary practice location
312 N Spring St
Fordyce, AR 71742-3318
Mailing address
312 N Spring St
Fordyce, AR 71742-3318
Phone (870) 352-2167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Family Eye Care Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Camden, AR
- NPI 1003145319
Locations
515 Cash Rd SW
Camden, AR 71701
Phone (870) 836-2525
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Camden, AR
- NPI 1871685065
-
- Optometrist
- Camden, AR
- NPI 1265446793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377820800000",
"number": "1962836585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 N SPRING ST",
"city": "FORDYCE",
"state": "AR",
"postal_code": "717423318",
"telephone_number": "870-352-2167",
"fax_number": "870-352-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N SPRING ST",
"city": "FORDYCE",
"state": "AR",
"postal_code": "717423318",
"telephone_number": "870-352-2167",
"fax_number": "870-352-8883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY EYECARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-30",
"last_updated": "2013-08-30",
"status": "A",
"authorized_official_last_name": "NUTT",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "RANDALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-352-2167",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AR",
"license": "2570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fordyce, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.