DR. WAYNE PROVINES (NPI# 1376506543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376506543 |
| Entity Type | Individual |
| Full Name | DR. WAYNE PROVINES |
| Credential | O. D. |
| Practice Address |
314 Mdg/sgo, 1090 Arnold Dr Little Rock Afb AR 72099-0001 |
| Mailing Address |
2812 Gray Fox Ln Jacksonville AR 72076-2629 |
| Practice Telephone | 5019878702 |
| Mailing Telephone | 5019851185 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WX0102X |
Optometrist Specialization: Occupational Vision |
9256 | AR | Eye and Vision Services Providers |
| Street Address |
314 MDG/SGO, 1090 ARNOLD DR |
| City | LITTLE ROCK AFB |
| State | AR |
| Zip Code | 72099-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876577 | Little Rock Air Force Base Eye Care | Optometrist | 6th Street, Bldg 787, Little Rock Air Force Base, Little Rock, AR 72099 | 2017-04-25 |
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1134341076 | Keisha Denythia Henry | Psychologist | 314 Medical Group, Life Skills Support Center, 1090 Arnold Drive, Little Rock Afb, AR 72099 | 2007-05-02 |
| 1457810848 | Dennis Dale Jackson II | Pharmacist | 1090 Arnold Dr, Little Rock Afb, AR 72099 | 2019-03-15 |
| 1003319880 | Isaac Clayton Talbert | Preventive Medicine | 1090 Arnold Dr, Jacksonville, AR 72099 | 2018-03-17 |
| 1699213454 | Teryn Ardell Freeman | Physician Assistant | 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 | 2017-02-01 |
| 1437545183 | Christina R Lyon | Family Medicine | 1090 Arnold Dr, Little Rock Air Force Base, AR 72099 | 2015-04-09 |
| 1922362102 | Seth William Heimer | Family Medicine | 1090 Arnold Dr, Lr Afb, AR 72099 | 2012-07-02 |
| 1730314899 | Andrew Chichick Iv | Military Health Care Provider | 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 | 2009-05-19 |
| 1669469094 | Jordan Kieliszewski | Social Worker | 1090 Arnold Dr, Jacksonville, AR 72099 | 2005-09-30 |
| Find all providers in zip 72099 | ||||
| Taxonomy Code | 152WX0102X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Occupational Vision |
| Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770995201 | Jeffrey David Coats | Optometrist | 800 Se Walton Blvd Ste 12, Bentonville, AR 72712-5398 | 2014-06-02 |
| City | LITTLE ROCK AFB |
| Zip Code | 72099 |
Please comment or provide details below to improve the information on DR. WAYNE PROVINES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.