Individual
DANIEL J HENNESSEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4200 N. RODNEY PARHAM ROAD, SUITE 101, LITTLE ROCK, AR 72212
(501) 224-5658
(501) 687-0801
Mailing address
201 EXECUTIVE CT, SUITE A, LITTLE ROCK, AR 72205-4536
(501) 224-5658
(501) 224-8114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2322
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110756722
—
AR
01
—
48867
MEDICARE ID-TYPE UNSPECIFIED
AR
Enumeration date
12/13/2005
Last updated
10/15/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us