NPI 1609885805 · live from the CMS NPI Registry
Wade Dale Brock, MD
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery in Little Rock, AR. National Provider Identifier 1609885805, active.
NPI record
| NPI | 1609885805 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery 207WX0200X |
| Practice location | 900 S Shackleford Rd Ste 220, Little Rock, AR 72211 |
| Practice phone | 501-223-2244 |
| Enumerated | August 5, 2006 |
| Last updated | May 22, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery primary | 207WX0200X | E2380 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.