Healthcare Provider Details

I. General information

NPI: 1508093436
Provider Name (Legal Business Name): ARKANSAS FAMILY EYECARE OF SEARCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2009
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 W BEEBECAPPS EXPY
SEARCY AR
72143-5421
US

IV. Provider business mailing address

11225 HURON LN SUITE 200A
LITTLE ROCK AR
72211-1859
US

V. Phone/Fax

Practice location:
  • Phone: 501-268-5808
  • Fax: 501-305-3370
Mailing address:
  • Phone: 501-225-9944
  • Fax: 501-225-9933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. TASKER N RODMAN II
Title or Position: PARTNER
Credential: O.D.
Phone: 501-225-9944