NPI 1487744975 · live from the CMS NPI Registry
Joseph Chacko, MD
Ophthalmology in Little Rock, AR. National Provider Identifier 1487744975, active.
NPI record
| NPI | 1487744975 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 4301 W Markham St # 783, Little Rock, AR 72205 |
| Practice phone | 501-686-8000 |
| Enumerated | October 13, 2006 |
| Last updated | July 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Neuro-ophthalmology | 207WX0109X | E-4513 (AR) |
| Ophthalmology primary | 207W00000X | E-4513 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.