KINDRA BROCK (NPI# 1760808752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760808752 |
| Entity Type | Individual |
| Full Name | KINDRA BROCK |
| Credential | ABOC, LICENSED OPTIC |
| Practice Address |
5507 Ranch Dr Suite 207 Little Rock AR 72223-4538 |
| Practice Telephone | 5012007442 |
| Mailing Telephone | 5012007442 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
A-120802 | AR | Eye and Vision Services Providers |
| Street Address |
5507 RANCH DR SUITE 207 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72223-4538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942536925 | Barbara Elizabeth Sivertson | Counselor | 5507 Ranch Dr, Suite 207, Little Rock, AR 72223-4538 | 2009-10-26 |
| 1386193209 | Martin Skrivanos | Counselor | 5507 Ranch Dr, Suite 207, Little Rock, AR 72223-4538 | 2016-10-04 |
| 1104285857 | Pinnacle Chiropractic | Chiropractor | 5507 Ranch Dr, Ste 3, Little Rock, AR 72223-4538 | 2016-02-22 |
| 1265762751 | Precision Chiropractic & Wellness LLC | Chiropractor | 5507 Ranch Dr, Suite 3, Little Rock, AR 72223-4538 | 2010-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102242 | Tyler Edward Hicks | Chiropractor | 14300 West Cantrell Rd Suite 10, Little Rock, AR 72223 | 2019-03-08 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1235666983 | Grant Dennis | Chiropractor | 8201 Ranch Blvd., Suite B5, Little Rock, AR 72223 | 2017-05-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1730421454 | Artineli Foot Care Solutions Pllc | Clinic/Center | 801 Technology Drive, Suite D, Little Rock, AR 72223 | 2013-03-20 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1003112160 | All Children's Therapy, Inc | Speech-Language Pathologist | 12410 Cantrell Rd., Suite 200, Little Rock, AR 72223 | 2011-02-07 |
| 1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
| 1356578298 | Miranda White | Social Worker | 10 Pennsylvania Ct, Little Rock, AR 72223 | 2009-06-18 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| Find all providers in zip 72223 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1609012053 | Lonnie E. Burrow | Technician/Technologist | 5909 R St, Little Rock, AR 72207-4417 | 2009-01-06 |
| 1942216718 | Us Vision Optical Inc | Technician/Technologist | 600 S University Ave, Little Rock, AR 72205-5206 | 2006-07-31 |
| 1689924987 | Wal-mart Stores Inc | Technician/Technologist | 700 S Bowman Rd, Little Rock, AR 72211-3616 | 2012-09-13 |
| 1538244496 | Wal-mart Stores, Inc. | Technician/Technologist | 2700 S Shackleford Rd, Little Rock, AR 72211 | 2006-10-26 |
| 1295810885 | Wal-mart Stores, Inc. | Technician/Technologist | 19301 Cantrell Rd, Little Rock, AR 72223-4457 | 2006-10-25 |
| 1063595544 | Wal-mart Stores, Inc. | Technician/Technologist | 8801 Baseline Rd, Little Rock, AR 72209-5901 | 2006-10-20 |
| 1073603312 | Sam's Club Optical | Technician/Technologist | 900 S Bowman Rd, Little Rock, AR 72211-3617 | 2006-10-16 |
| 1194747204 | Us Vision Optical Inc | Technician/Technologist | 300 S University Ave, Little Rock, AR 72205-5209 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1063837847 | Rick Rakotz | Technician/Technologist | 1400 N Devils Den Rd, Winslow, AR 72959-2605 | 2014-03-03 |
| 1922355585 | Crystal Vision, Inc | Technician/Technologist | 2935 Lakewood Village Dr, North Little Rock, AR 72116-8033 | 2012-08-13 |
| 1336447887 | Steven Wayne Slane I | Technician/Technologist | 1001 W Walnut St Ste 6, Rogers, AR 72756-3525 | 2011-03-08 |
| 1053643817 | Mickey Lee Drake I | Technician/Technologist | 111 Ponderosa Ln, Suite H, Hot Springs Village, AR 71909-5018 | 2010-02-04 |
| 1235378589 | Zoella Kay Rogers | Technician/Technologist | 5111 Rogers Ave Ste 120p, Fort Smith, AR 72903-2033 | 2009-02-10 |
| 1346401650 | Traci L Wyatt | Technician/Technologist | 104 W Colt Square Dr, Suite 2, Fayetteville, AR 72703-2834 | 2008-06-19 |
| 1811199730 | Larry P. Bryant | Technician/Technologist | 212 Mccalahan, Suite C, Bryant, AR 72022 | 2007-06-04 |
| 1376620559 | Velvet Prewitt | Technician/Technologist | 2511 Harrison St, Batesville, AR 72501-7424 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72223 |
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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.