DR. EDWARD M PENICK III


Address: 5 St. Vincent Circle, Suite 101, Little Rock, AR 72205-5412
Phone: 5016645354

DR. EDWARD M PENICK III (NPI# 1962449892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962449892
Entity Type Individual
Full Name DR. EDWARD M PENICK III
Credential M.D.
Practice Address 5 St. Vincent Circle, Suite 101
Little Rock
AR 72205-5412
Practice Telephone 5016645354
Practice Fax Number 5016645257
Mailing Telephone 5016645354
Mailing Fax Number 5016645257
Enumeration Date 2006-05-31
Last Update Date 2016-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology E-4798 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR RAILROAD MEDICARE P00337243 01
AR 160765001 05

Office Location

Street Address 5 ST. VINCENT CIRCLE, SUITE 101
City LITTLE ROCK
State AR
Zip Code 72205-5412

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
Find all providers in zip 72205

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215362397 Lieblong Eye Center Ophthalmology 123 North Van Buren Street, Little Rock, AR 72205 2013-09-09
1871810606 Jennifer Ileen Doyle Ophthalmology 201 Executive Ct A, Little Rock, AR 72205-4536 2010-05-04
1427215623 Justin Lieblong Ophthalmology 123 North Van Buren, Little Rock, AR 72205 2008-05-16
1093988404 Retina Specialists of Arkansas, P.a. Ophthalmology 5 Saint Vincent Cir Ste 201, Little Rock, AR 72205-5416 2008-04-07
1518182526 Jonathan Daniel Casciano Ophthalmology 5 Saint Vincent Cir Ste 200, Little Rock, AR 72205-5416 2007-04-16
1073661757 R. E. Hardberger Md Pa Ophthalmology 123 N Van Buren St, Little Rock, AR 72205-3647 2007-01-08
1396813945 Deer Eye Clinic Pa Ophthalmology 4942 W. Markham, Little Rock, AR 72205 2006-12-01
1912949785 Pleasant Valley Ophthalmology, Pllc Ophthalmology 11825 Hinson Rd, Ste. 103, Little Rock, AR 72212-3404 2006-06-13
1992764914 Little Rock Eye Clinic, LLP Ophthalmology 201 Executive Ct Ste A, Little Rock, AR 72205-4536 2006-03-20
1932177318 Jay O Brainard Ophthalmology 5300 W. Markham, Little Rock, AR 72205-3528 2006-03-10
Find all providers in LITTLE ROCK

Competitor

Search similar providers

City LITTLE ROCK
Zip Code 72205

Improve Information

Please comment or provide details below to improve the information on DR. EDWARD M PENICK III.

Dataset Information

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.

Trending Searches