Healthcare Provider Details
I. General information
NPI: 1659285658
Provider Name (Legal Business Name): RK VISIONARY INVESTMENTS DBA MEADOR EYE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2524 CRESTWOOD RD STE 1
NORTH LITTLE ROCK AR
72116-7648
US
IV. Provider business mailing address
2925 HOT SPRINGS HWY
BENTON AR
72019-1894
US
V. Phone/Fax
- Phone: 501-753-2030
- Fax:
- Phone: 501-860-4986
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
RUSSELL
SIMMONS
Title or Position: OWNER
Credential: OD
Phone: 501-860-4986