Active NPI
Kenneth Eugene Hefley, OD
- Optometrist
- Harrison, AR
National Provider Identifier
1992963821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2294
- Practice address
- 1417 Hwy 62 65 N
Harrison, AR 72601-1912 - Phone
- (870) 365-8420
- Fax
- (870) 356-8418
- NPI assigned
- May 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2294 | AR | Primary |
Addresses
Primary practice location
1417 Hwy 62 65 N
Harrison, AR 72601-1912
Mailing address
1417 Hwy 62 65 N
Harrison, AR 72601-1912
Phone (870) 365-8420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2294 | AR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1992963821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 HWY 62 65 N",
"city": "HARRISON",
"state": "AR",
"postal_code": "726011912",
"telephone_number": "870-365-8420",
"fax_number": "870-356-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 HWY 62 65 N",
"city": "HARRISON",
"state": "AR",
"postal_code": "726011912",
"telephone_number": "870-365-8420",
"fax_number": "870-356-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFLEY",
"first_name": "KENNETH",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
- Hearing Health Care, Inc (dba Beltone Hear Well Centers)
- Hearing Health, Inc. (Beltone Hearing Health)
- Heath Bryan Coleman, DDS of Arkansas II, PLLC
- Joe Heatherly III, LPC
- Jonathan Bailey Hefley, APRN
- Katara Cheyenne Heisler
- Brandy Helton, MHPP
- Barbara Joan Henderson, APN,RNP
- Micahael Henderson, MHPP
- Michelle Lee Henderson, APN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.