Active NPI
Charles Floyd Hyman, O.D.
- Optometrist
- West Memphis, AR
National Provider Identifier
1003876582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2249
- Practice address
- 1028 N Missouri St
Suite 1
West Memphis, AR 72301-2613 - Phone
- (870) 735-8466
- Fax
- (870) 735-0717
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2249 | AR | Primary |
Addresses
Primary practice location
1028 N Missouri St
Suite 1
West Memphis, AR 72301-2613
Mailing address
1028 N Missouri St
Suite 1
West Memphis, AR 72301-2613
Phone (870) 735-8466
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49065 | Other | AR | BCBS |
| 53000 | Other | AR | SPECTERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100408000334 | AR | Practitioner - Optometry | 2860528361 | Practice locations: West Memphis, AR; Earle, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1028 N Missouri St
Suite 1
West Memphis, AR 72301-2600
Phone (870) 735-8466
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.7 of 100
- Quality
- 86.03
- Improvement activities
- 40
- Cost
- 74.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2249 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Springs Eyecare PLLC | Optometrist | Past | Accepting new patients |
Networks
- MS PPO D-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- TN PPO C-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- TN PPO
- MS PPO
- MS PPO C-SNP
Interoperability endpoints
- drhyman@esg.emadirect.md
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Holly Springs, MS
- NPI 1356430987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1003876582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 N MISSOURI ST",
"address_2": "SUITE 1",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723012613",
"telephone_number": "870-735-8466",
"fax_number": "870-735-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 N MISSOURI ST",
"address_2": "SUITE 1",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723012613",
"telephone_number": "870-735-8466",
"fax_number": "870-735-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMAN",
"first_name": "CHARLES",
"middle_name": "FLOYD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49065",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "53000",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.