NPI 1417765488 · live from the CMS NPI Registry
Central Arkansas Lasik
Ophthalmology in Little Rock, AR. National Provider Identifier 1417765488, active.
NPI record
| NPI | 1417765488 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 220 N Van Buren St, Little Rock, AR 72205 |
| Practice phone | 501-712-5200 |
| Mailing address | 1900 Shadow Ln, Little Rock, AR 72207 |
| Enumerated | December 23, 2024 |
| Last updated | January 13, 2025 |
| Authorized official | Edward Penick, Ophthalmologist/Lasik Surgeon |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | — |
| Clinic/Center, Medical Specialty | 261QM2500X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.