Jim Cornwell O.D.

LBN: Jim Cornwell O.D.
Jim Cornwell O.D. is an health care organization with primary practice located at 5501 Kavanaugh Blvd , Little Rock AR 72207-4614. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jim Cornwell O.D. can be contacted via phone (501) 240-2406, or through Cornwell, Jim via phone (501) 240-2406.

Contact Information

Primary practice address
5501 Kavanaugh Blvd Little Rock AR 72207-4614
Phone: (501) 240-2406
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cornwell, Jim Doctor of Optometry (OD)
Phone: (501) 240-2406

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2344 Arkansas

Profile Details

NPI number 1831225887
LBN Legal business name Jim Cornwell O.D.
DBA Doing business as
Authorized official Cornwell, Jim Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831225887 NPPES
Arkansas Other 48855 BLUE CROSS BLUE SHIELD

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