Optical Shop

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL SHOP

Practice address

7901 Dallas St
Fort Smith, AR 72903-4281

Phone

(479) 782-8892

Fax

(479) 782-8840

NPI assigned

Nov 2, 2006

Organization subpart

Yes

Parent organization

EYE GROUP LLCAs reported in NPPES

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

Authorized official

Name

Dr. Robert Knox

Title

President

Phone

(479) 782-8892

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Eye Group LLC3 organizations share this tax ID, including this one

Part of

Eye Group LLC

Other organizations with this tax ID 2

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

• Eye Group, LLC

  • Optometrist
  • Fort Smith, AR
  • NPI 1154394617
  NPD tax ID
• Eye Group, LLC

  • Ophthalmology Physician
  • Fort Smith, AR
  • NPI 1366414187
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronny Bowman, O.D.

  • Optometrist
  • NPI 1881830107
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1992884829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034281",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034281",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014232",
            "country_code": "US",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014232",
            "country_code": "US",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTICAL SHOP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE GROUP LLC",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-782-8892",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128041002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100768130B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ2384",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Olson, LPC
• Soroush Omidvarnia
• Oluwatobiloba Victor Omotunde, MD
• Onsite Neonatal Arkansas PA
• Open Aire Imaging Centers of America LLC
• Optimum Aging & Integrated Medicine
• Oral Surgery Center Inc
• Chiricka Orisakwe, M.D.
• Luke Orison
• Anthony Orosco

• Eyewear Supplier in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Eyewear Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.