NPIMap

Organization Active NPI

Little Rock Eye Clinic, LLP

  • Ophthalmology Physician
  • Little Rock, AR
National Provider Identifier
1992764914
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7391 Issued in AR
Legal business name
LITTLE ROCK EYE CLINIC, LLP
Practice address
201 Executive CT Ste a
Little Rock, AR 72205-4536
Phone
(501) 224-5658
Fax
(501) 224-8114
NPI assigned
Mar 20, 2006
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Quinn Collins
Title
Office Manager
Phone
(501) 224-5658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7391 AR Primary

Addresses

Primary practice location

201 Executive CT Ste a
Little Rock, AR 72205-4536

Mailing address

201 Executive CT Ste a
Little Rock, AR 72205-4536
Phone (501) 224-5658

Other identifiers 1

IdentifierTypeStateIssuer
131084002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040604000948 AR Part B Supplier - Clinic/Group Practice 3476535121 Receives reassigned benefits from 26 practitioners
Practice locations: North Little Rock, AR; Little Rock, AR
O20100930054710 AR DME Supplier - Physician - OptometristDME Supplier - Physician - Ophthalmology 3476535121 Practice locations: Little Rock, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Little Rock Eye Clinic LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4200 N Rodney Parham Rd
Ste 101
Little Rock, AR 72212
Phone (501) 224-5658

500 S University Ave
Ste 119
Little Rock, AR 72205
Phone (501) 664-6400

9600 Baptist Health Dr
Ste 230
Little Rock, AR 72205
Phone (501) 224-5658

4104 Richards Rd
Ste A
North Little Rock, AR 72117

930 Madison Ave
Memphis, TN 38103
Phone (901) 448-5888

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1992764914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE CT STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054536",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE CT STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054536",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK EYE CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "QUINN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-224-5658"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "7391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131084002",
            "state": "AR"
        }
    ],
    "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 Nov 19, 2019; 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.