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ROBERT LYON BERRY M.D. NPI 1164565560


NPI Information

NPI: 1164565560
Provider Name: ROBERT LYON BERRY M.D.

Doing Business As: EYE CARE ARKANSAS

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 04D2020762

Address:
9800 LILE DR STE 301
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 225-4488
Get Directions

ROBERT LYON BERRY M.D. is an optometrist in Little Rock, AR. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. ROBERT LYON BERRY M.D. NPI is 1164565560. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eye Care Arkansas.

The provider's business location address is:

9800 LILE DR STE 301
LITTLE ROCK, AR
ZIP 72205-230
Phone: (501) 225-4488
Fax: (501) 225-9299

The provider's authorized official is Robert Lyon Berry .
The authorized official title is Owner and has the following contact phone number (501) 225-4488.

The CLIA number assigned to this NPI record is 04D2020762 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 7/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristMC-1590ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15B628MEDICARE ID-TYPE UNSPECIFIEDARKANSASGROUP NUMBER
2126878002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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