PLEASANT VALLEY OPHTHALMOLOGY, PLLC (NPI# 1912949785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912949785 |
| Entity Type | Organization |
| Organization Name | PLEASANT VALLEY OPHTHALMOLOGY, PLLC |
| Practice Address |
11825 Hinson Rd Ste. 103 Little Rock AR 72212-3404 |
| Practice Telephone | 5012233937 |
| Practice Fax Number | 5012238656 |
| Mailing Telephone | 5012233937 |
| Mailing Fax Number | 5012238656 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | DR. SUSAN DIANE BLAIR (OWNER PHYSICIAN) |
| Authorized Official Telephone | 5012233937 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | RR MEDICARE GROUP # | CJ3133 | 01 |
| Street Address |
11825 HINSON RD STE. 103 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295995736 | Nancy M. Perry | Psychologist | 11825 Hinson Rd, Suite 102, Little Rock, AR 72212-3404 | 2008-06-09 |
| 1508047507 | Stephen M. Ash | Psychologist | 11825 Hinson Rd, Suite 105, Little Rock, AR 72212-3404 | 2007-11-19 |
| 1386659076 | S Killeen Deslauriers | Specialist | 11825 Hinson Rd, Suite 101, Little Rock, AR 72212-3404 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215362397 | Lieblong Eye Center | Ophthalmology | 123 North Van Buren Street, Little Rock, AR 72205 | 2013-09-09 |
| 1871810606 | Jennifer Ileen Doyle | Ophthalmology | 201 Executive Ct A, Little Rock, AR 72205-4536 | 2010-05-04 |
| 1427215623 | Justin Lieblong | Ophthalmology | 123 North Van Buren, Little Rock, AR 72205 | 2008-05-16 |
| 1093988404 | Retina Specialists of Arkansas, P.a. | Ophthalmology | 5 Saint Vincent Cir Ste 201, Little Rock, AR 72205-5416 | 2008-04-07 |
| 1518182526 | Jonathan Daniel Casciano | Ophthalmology | 5 Saint Vincent Cir Ste 200, Little Rock, AR 72205-5416 | 2007-04-16 |
| 1073661757 | R. E. Hardberger Md Pa | Ophthalmology | 123 N Van Buren St, Little Rock, AR 72205-3647 | 2007-01-08 |
| 1396813945 | Deer Eye Clinic Pa | Ophthalmology | 4942 W. Markham, Little Rock, AR 72205 | 2006-12-01 |
| 1962449892 | Edward M Penick IIi | Ophthalmology | 5 St. Vincent Circle, Suite 101, Little Rock, AR 72205-5412 | 2006-05-31 |
| 1992764914 | Little Rock Eye Clinic, LLP | Ophthalmology | 201 Executive Ct Ste A, Little Rock, AR 72205-4536 | 2006-03-20 |
| 1932177318 | Jay O Brainard | Ophthalmology | 5300 W. Markham, Little Rock, AR 72205-3528 | 2006-03-10 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
Please comment or provide details below to improve the information on PLEASANT VALLEY OPHTHALMOLOGY, PLLC.
| 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.