Healthcare Provider Details

I. General information

NPI: 1497511810
Provider Name (Legal Business Name): PAIGE W HARVEY OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 N RODNEY PARHAM RD STE C-1A
LITTLE ROCK AR
72212-4191
US

IV. Provider business mailing address

10700 N RODNEY PARHAM RD STE C-1A
LITTLE ROCK AR
72212-4191
US

V. Phone/Fax

Practice location:
  • Phone: 501-830-2020
  • Fax: 501-830-2021
Mailing address:
  • Phone: 501-830-2020
  • Fax: 501-830-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2888
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: