Individual provider Active NPI

Sophear Seng, O.D.

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1992937718
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2699 Issued in AR
Practice address
2700 S Shackleford Rd
Little Rock, AR 72205-6918
Phone
(501) 225-5580
Fax
(501) 225-5582
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001868 VA
Optometrist 152W00000X 2699 AR Primary

Addresses

Primary practice location

2700 S Shackleford Rd
Little Rock, AR 72205-6918

Mailing address

2700 S Shackleford Rd
Little Rock, AR 72205-6918
Phone (501) 225-5580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118001965 AR Practitioner - Optometry 0446472021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Sophear Seng LLCGroup PAC ID 9537381116, 2 clinicians
Envision Eye CareGroup PAC ID 2860733870, 2 clinicians

Practice addresses (Care Compare)

2700 S Shackleford Rd
Little Rock, AR 72205-6918
Phone (501) 225-5580

8801 Baseline Rd
Little Rock, AR 72209-5901
Phone (501) 278-0128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001868VAMDOptometrist
2699ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sophear Seng, LLC Optometrist CurrentSince Jun 12, 2014 Accepting new patients
Envision Eye Care Optometrist CurrentSince May 1, 2019 Accepting new patients

Locations

2700 S Shackleford Rd
Little Rock, AR 72205
Phone (501) 221-0096

8801 Baseline Rd
Little Rock, AR 72209
Phone (501) 565-1164

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1992937718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056918",
            "telephone_number": "501-225-5580",
            "fax_number": "501-225-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056918",
            "telephone_number": "501-225-5580",
            "fax_number": "501-225-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENG",
        "first_name": "SOPHEAR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001868",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.