NPI 1366424996 · live from the CMS NPI Registry
Rickey D Medlock, M.D.
Ophthalmology, Retina Specialist in Little Rock, AR. National Provider Identifier 1366424996, active.
NPI record
| NPI | 1366424996 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Retina Specialist 207WX0107X |
| Practice location | 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205 |
| Practice phone | 501-219-0900 |
| Mailing address | 2200 Broadway St, Little Rock, AR 72206 |
| Enumerated | November 18, 2005 |
| Last updated | April 8, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Retina Specialist primary | 207WX0107X | C6445 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.