FAMILY EYE CLINIC (NPI# 1073581575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073581575 |
| Entity Type | Organization |
| Organization Name | FAMILY EYE CLINIC |
| Practice Address |
3004 E Kiehl Ave Sherwood AR 72120-3228 |
| Practice Telephone | 5018357800 |
| Practice Fax Number | 5018355060 |
| Mailing Telephone | 5018357800 |
| Mailing Fax Number | 5018355060 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | KRISTIN LAW (TREASURER/OPTOMETRIST) |
| Authorized Official Telephone | 4799656300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2348 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 113484722 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15424 Arch St Ste F, Little Rock, AR 722065461 | 5018887533 | 5018888016 |
| 3418 Camp Robinson Rd, North Little Rock, AR 721185051 | 5017581015 | 5017581554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659596682 | Family Eye Clinic | Preferred Provider Organization | 2230 Towne Lake Pkwy, Building 700 Suite 100, Woodstock, GA 30189-5540 | 2007-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY EYE CLINIC | 707 N Pearl St Ste D, Ellensburg, WA 98926-2938 |
| Indiana Business Entities | FAMILY EYE CLINIC, P.C. | 150 Forest Park Dr, Berne, IN 46711 |
| Street Address |
3004 E KIEHL AVE |
| City | SHERWOOD |
| State | AR |
| Zip Code | 72120-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558774588 | Marcus Chase Law | Optometrist | 3004 E Kiehl Ave, Sherwood, AR 72120-3228 | 2014-06-06 |
| 1811300841 | Kristin Law | Optometrist | 3004 E Kiehl Ave, Sherwood, AR 72120 | 2014-06-06 |
| 1336578822 | C & R Eye Group, Pa | Optometrist | 3004 E Kiehl Ave, Sherwood, AR 72120-3228 | 2013-11-05 |
| 1922286319 | George A Haas Od Pa | Eyewear Supplier (Equipment, not the service) | 3004 E Kiehl Ave, Sherwood, AR 72120-3228 | 2008-02-07 |
| 1194700229 | George Allen Haas | Optometrist | 3004 E Kiehl Ave, Sherwood, AR 72120-3228 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
| 1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
| 1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
| 1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
| 1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
| 1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
| 1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
| 1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
| Find all providers in zip 72120 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164622288 | Northwest Optometric Assoicates Inc | Optometrist | 21887 Sw Sherwood Blvd Ste B, Sherwood, OR 97140-9412 | 2007-07-18 |
| 1366577751 | Allen Wayne Baker | Optometrist | 15972 Sw Tualatin Sherwood Rd, Sherwood, OR 97140-8690 | 2007-02-23 |
| 1427060714 | Mari Ward | Optometrist | 20661 Sw Roy Rogers Rd Ste 503, Sherwood, OR 97140-9277 | 2006-08-13 |
| 1659307932 | Adina Nela Zapodeanu | Optometrist | 20407 Sw Borchers Dr, Suite 202, Sherwood, OR 97140-8760 | 2006-06-25 |
| 1356386155 | Family Focused Vision Care, LLC | Optometrist | W575 Castle Dr., Sherwood, WI 54169 | 2006-06-17 |
| 1205815974 | Kymberly Devitt | Optometrist | 9300 Brockington Rd, Sherwood, AR 72120-4252 | 2006-01-11 |
| 1588640072 | Ronald A Burks | Optometrist | 305 E Kiehl Ave, Sherwood, AR 72120-2921 | 2005-12-16 |
| 1700870581 | Garry Haas | Optometrist | 202 Country Club Rd, Sherwood, AR 72120-4627 | 2005-09-07 |
| 1346234275 | Shannon Marie Downey | Optometrist | 20508 Sw Roy Rogers Rd, Suite 125, Sherwood, OR 97140-9932 | 2005-09-07 |
| 1538766175 | Med Southwest, Pllc | Optometrist | 305 E Kiehl Ave, Sherwood, AR 72120-2921 | 2020-10-06 |
| Find all providers in SHERWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.