Individual provider Active NPI

Martina Webb-Haines, OD

  • Optometrist
  • Rogers, AR
National Provider Identifier
1093375008
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2795 Issued in AR
Practice address
2600 W Pleasant Crossing Dr Ste 60
Rogers, AR 72758-8323
Phone
(479) 202-4725
Fax
(479) 621-0785
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2795 AR Primary

Addresses

Primary practice location

2600 W Pleasant Crossing Dr Ste 60
Rogers, AR 72758-8323

Mailing address

2600 W Pleasant Crossing Dr Ste 60
Rogers, AR 72758-8323

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
I20190718002839 AR Practitioner - Optometry 6800121484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dang Eyecare and Associates, P.a.Group PAC ID 2365599610, 11 clinicians

Practice addresses (Care Compare)

4189 Phoenix Ave
Suite B
Fort Smith, AR 72903-6013
Phone (479) 434-4668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dang Eyecare & Associates, P.a. Optometrist CurrentSince Jun 20, 2019 Accepting new patients

Locations

4189 Phoenix Ave
Ste B
Fort Smith, AR 72903
Phone (479) 434-4668

2600 W Pleasant Crossing Dr
Ste 60
Rogers, AR 72758
Phone (479) 202-4725

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1093375008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W PLEASANT CROSSING DR STE 60",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W PLEASANT CROSSING DR STE 60",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588323",
            "telephone_number": "479-202-4725",
            "fax_number": "479-621-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB-HAINES",
        "first_name": "MARTINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.