ARKANSAS OCULOPLASTIC SURGERY PLLC NPI 1396852901

NPI Information

  • NPI: 1396852901
  • Provider Name: ARKANSAS OCULOPLASTIC SURGERY, PLLC
  • Classification: Ophthalmology - 207WX0200X
  • Specialization: Ophthalmic Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 9800 BAPTIST HEALTH DR STE 500
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 223-2244

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NPI Details

ARKANSAS OCULOPLASTIC SURGERY, PLLC is an ophthalmic plastic and reconstructive surgery ophthalmology in Little Rock, AR. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. ARKANSAS OCULOPLASTIC SURGERY, PLLC NPI is 1396852901. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9800 BAPTIST HEALTH DR STE 500
LITTLE ROCK, AR
ZIP 72205-243
Phone: (501) 223-2244
Fax: (501) 223-2231

The provider's authorized official is Jo Ann Mccormack .
The authorized official title is Billing Coordinator and has the following contact phone number (501) 223-2244.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 12/13/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1160405002MEDICAIDARKANSAS

What is NPI?

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This page was last updated on: 11/21/2025

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