NPI 1306811294 · live from the CMS NPI Registry
Eye Physicians & Surgeons
Ophthalmology in Jacksonville, AR. National Provider Identifier 1306811294, active.
NPI record
| NPI | 1306811294 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 521 Marshall Rd, Jacksonville, AR 72076 |
| Practice phone | 501-985-0616 |
| Enumerated | February 22, 2006 |
| Last updated | May 19, 2026 |
| Authorized official | Pam Ables, Clinic Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.