DR. JUSTIN RYAN BEAVERS (NPI# 1942490263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942490263 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN RYAN BEAVERS |
| Credential | O.D. |
| Practice Address |
4208 Pleasant Crossing Blvd Rogers AR 72758 |
| Practice Telephone | 4796312030 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2596 | AR | Eye and Vision Services Providers |
| Street Address |
4208 PLEASANT CROSSING BLVD |
| City | ROGERS |
| State | AR |
| Zip Code | 72758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811070725 | Wal-mart Stores, Inc. | Technician/Technologist | 4208 Pleasant Crossing Blvd, Rogers, AR 72758-1345 | 2006-10-23 |
| 1184889040 | Beavers Eye Care, Inc. | Optometrist | 4208 Pleasant Crossing Blvd, Rogers, AR 72758-1345 | 2008-07-21 |
| 1982726444 | Linda Kay West | Nurse Practitioner | 4208 Pleasant Crossing Blvd, Rogers, AR 72758-1345 | 2007-04-04 |
| 1417075565 | Rediclinic LLC | Clinic/Center | 4208 Pleasant Crossing Blvd, Rogers, AR 72758-1345 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| 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 |
|---|---|---|---|---|
| 1972144566 | Randy Bell Od Pllc | Optometrist | 101 W Walnut St, Rogers, AR 72756-6662 | 2019-10-04 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1568812345 | Christen Jade Coats | Optometrist | 5212 W Village Pkwy Ste 6, Rogers, AR 72758-8190 | 2016-06-13 |
| 1811345077 | Megan Shirey | Optometrist | 3602 W Southern Hills Blvd, Rogers, AR 72758-8013 | 2016-05-28 |
| 1174811970 | Jessica Lauren Dinwiddie | Optometrist | 5100 W Pauline Whitaker Pkwy Ste 107, Rogers, AR 72758-8337 | 2011-07-13 |
| 1902096589 | Katherine Ann Landis | Optometrist | 1401 W Walnut St, Rogers, AR 72756-3317 | 2007-07-30 |
| 1619181518 | Kevin J Kirlin | Optometrist | 13900 Northdale Blvd, Rogers, MN 55374-9627 | 2007-05-09 |
| 1003977364 | Glynn Griffin | Optometrist | 2600 W Pleasant Crossing Dr Ste 60, Rogers, AR 72758-8323 | 2006-12-12 |
| 1164526422 | Pete F Parenti | Optometrist | 3710 Southern Hills Blvd, Suite 200, Rogers, AR 72758-8041 | 2006-09-08 |
| 1366555633 | Parenti-morris Eyecare Pllc | Optometrist | 3710 Southern Hills Boulevard Ste 200, Parenti Morris Eye Care, Rogers, AR 72758 | 2006-08-17 |
| Find all providers in ROGERS | ||||
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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.