Individual provider Active NPI

Charles Floyd Hyman, O.D.

  • Optometrist
  • West Memphis, AR
National Provider Identifier
1003876582
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2249 Issued in AR
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

Updated by the provider on Mar 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
49065OtherARBCBS
53000OtherARSPECTERA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as group
Quality
86.03
Improvement activities
40
Cost
74.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2249ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.