LITTLE ROCK AIR FORCE BASE EYE CARE (NPI# 1356876577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356876577 |
| Entity Type | Organization |
| Organization Name | LITTLE ROCK AIR FORCE BASE EYE CARE |
| Practice Address |
6th Street, Bldg 787 Little Rock Air Force Base Little Rock AR 72099 |
| Practice Telephone | 5019830106 |
| Practice Fax Number | 5019830008 |
| Mailing Telephone | 5019830106 |
| Mailing Fax Number | 5019830008 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | PROF. DEREK SCOTT LONG (OWNER) |
| Authorized Official Telephone | 5019830106 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MAUMELLE EYE CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
6TH STREET, BLDG 787 LITTLE ROCK AIR FORCE BASE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1134341076 | Keisha Denythia Henry | Psychologist | 314 Medical Group, Life Skills Support Center, 1090 Arnold Drive, Little Rock Afb, AR 72099 | 2007-05-02 |
| 1457810848 | Dennis Dale Jackson II | Pharmacist | 1090 Arnold Dr, Little Rock Afb, AR 72099 | 2019-03-15 |
| 1003319880 | Isaac Clayton Talbert | Preventive Medicine | 1090 Arnold Dr, Jacksonville, AR 72099 | 2018-03-17 |
| 1699213454 | Teryn Ardell Freeman | Physician Assistant | 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 | 2017-02-01 |
| 1437545183 | Christina R Lyon | Family Medicine | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099 | 2015-04-09 |
| 1922362102 | Seth William Heimer | Family Medicine | 1090 Arnold Dr, Lr Afb, AR 72099 | 2012-07-02 |
| 1730314899 | Andrew Chichick Iv | Military Health Care Provider | 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 | 2009-05-19 |
| 1669469094 | Jordan Kieliszewski | Social Worker | 1090 Arnold Dr, Jacksonville, AR 72099 | 2005-09-30 |
| 1427316488 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 | 2012-04-27 |
| Find all providers in zip 72099 | ||||
| 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 |
|---|---|---|---|---|
| 1023592987 | C Klear Vision Inc. | Optometrist | 12400 Cantrell Rd Ste 4, Little Rock, AR 72223-1728 | 2018-09-17 |
| 1841786571 | William Wooten | Optometrist | 201 Executive Ct # A, Little Rock, AR 72205-4536 | 2018-07-05 |
| 1871046367 | Daniel & Max, LLC | Optometrist | 112 S University Ave, Little Rock, AR 72205-5203 | 2016-08-01 |
| 1609267160 | Julie M Dolven, Od Pa | Optometrist | 17711 Chenal Pkwy Ste I117, Little Rock, AR 72223-5810 | 2015-02-05 |
| 1639467426 | Julie M Dolven | Optometrist | 17711 Chenal Pkwy, Space I-117, Little Rock, AR 72223-5808 | 2011-07-14 |
| 1831482603 | Charity Grieco Hertzog | Optometrist | 10809 Executive Center Dr Ste 201, Little Rock, AR 72211-6021 | 2011-05-26 |
| 1952614869 | Celina Cecile Watson | Optometrist | 12400 Cantrell Rd, Ste 4, Little Rock, AR 72223-1728 | 2010-07-20 |
| 1912239906 | Little Rock Family Eyecare | Optometrist | 424 N University Ave Ste 5and6, Little Rock, AR 72205-3109 | 2010-02-02 |
| 1255567657 | Robyn Jeanette Hull | Optometrist | 424 N. Universtiy Ave, Little Rock, AR 72205 | 2009-06-01 |
| 1255596300 | William Brian Guice | Optometrist | 5600 Kavanaugh Blvd, Suite 8, Little Rock, AR 72207-4424 | 2008-07-28 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72099 |
Please comment or provide details below to improve the information on LITTLE ROCK AIR FORCE BASE EYE CARE.
| 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.