IIII OPTICAL - SPA CITY LLC
NPI 1386229870
Eyewear Supplier in Hot Springs, AR

Active since March 16, 2021
3604 CENTRAL AVE STE A, HOT SPRINGS, AR 71913(501) 318-1111(501) 318-1119 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Eyewear Supplier
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About IIII OPTICAL - SPA CITY LLC

This page provides the complete NPI Profile along with additional information for Iiii Optical - Spa City Llc, a provider established in Hot Springs, Arkansas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1386229870 assigned on March 2021. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Amy Offutt (Controller)

NPI
1386229870 Verify this NPI
Provider Name
IIII OPTICAL - SPA CITY LLC
Entity Type
Organization
Location Address
3604 CENTRAL AVE STE A HOT SPRINGS, AR 71913
Location Phone
(501) 318-1111
Location Fax
(501) 318-1119
Mailing Address
3805 W 28TH AVE PINE BLUFF, AR 71603
Mailing Phone
(870) 536-4100
Mailing Fax
(870) 534-3982
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2021
Last Update Date
03-16-2021
Code Navigator



Iiii Optical - Spa City Llc is a medicare supplier with PTAN 20406767 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY OFFUTT

Authorized Official Title
CONTROLLER
Authorized Official Phone
(870) 536-4100

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20406767
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Provider Type List
PHYSICIAN – OPHTHALMOLOGY.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386229870, enumerated as an "organization" on March 16, 2021.

The provider is located at 3604 CENTRAL AVE STE A HOT SPRINGS, AR 71913 and the phone number is (501) 318-1111.

Eyewear Supplier with taxonomy code 332H00000X.