BENTON EYECARE CLINIC (NPI# 1669651311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669651311 |
| Entity Type | Organization |
| Organization Name | BENTON EYECARE CLINIC |
| Other Organization Name | TASKER RODMAN GEN PTR |
| Practice Address |
443 Highway 5 N Benton AR 72019-9778 |
| Mailing Address |
11225 Huron Ln Ste 200a Little Rock AR 72211-1861 |
| Practice Telephone | 5017782020 |
| Practice Fax Number | 5017781788 |
| Mailing Telephone | 5017782020 |
| Mailing Fax Number | 5017781788 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | TASKER RODMAN (PARTNER/PROVIDER) |
| Authorized Official Telephone | 5012259944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 175933722 | 05 |
| Other Name | Type Code |
|---|---|
| TASKER RODMAN GEN PTR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456231 | Benton Eyecare Clinic | Optometrist | 318 W Sevier St, Benton, AR 72015-4270 | 2008-08-18 |
| Street Address |
443 HIGHWAY 5 N |
| City | BENTON |
| State | AR |
| Zip Code | 72019-9778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| 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 |
|---|---|---|---|---|
| 1801340633 | Cvo-bryant, LLC | Optometrist | 20770 I 30, Suite 135, Benton, AR 72019-8022 | 2016-08-10 |
| 1437402609 | Contact Lens Express LLC | Optometrist | 3715 Wildflower Ln, Benton, AR 72015-9000 | 2012-10-24 |
| 1033407226 | David Bryon Glenn | Optometrist | 443 Hwy 5 N, Benton, AR 72019-9778 | 2011-07-21 |
| 1356635510 | Justin B. Franks O.d. P.a. | Optometrist | 3016 Castle Valley Dr, Benton, AR 72019-6976 | 2011-06-06 |
| 1558675157 | Michael Wade Jorgensen | Optometrist | 187 Burt Blvd, Ste A, Benton, LA 71006-4905 | 2010-08-06 |
| 1528371150 | Jamie Byron Johnson | Optometrist | 318 W Sevier St, Benton, AR 72015-4270 | 2010-07-25 |
| 1124257035 | Natasha G. Lyles | Optometrist | 140 Commerce Blvd, Benton, KY 42025-1112 | 2009-07-13 |
| 1801839477 | Michael Lynn Hayes | Optometrist | 310 W 5th St, Benton, KY 42025-1102 | 2006-06-13 |
| 1245204304 | Laurel Morris | Optometrist | 109 W 5th St, Benton, KY 42025-1123 | 2006-02-15 |
| 1598753279 | Simmons Eye Care Clinic, P.a. | Optometrist | 113 W Carpenter St, Benton, AR 72015-3317 | 2005-10-07 |
| Find all providers in BENTON | ||||
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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.