Active NPI
Allyson Mertins, OD
- Optometrist
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2462
- Practice address
- 1188 N Salem Rd
Suite 12
Fayetteville, AR 72704-8807 - Phone
- (479) 442-8400
- Fax
- (800) 807-8144
- NPI assigned
- Jun 9, 2005
- Last updated
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 2462 | AR | Primary |
Addresses
Primary practice location
1188 N Salem Rd
Suite 12
Fayetteville, AR 72704-8807
Mailing address
1188 N Salem Rd
Suite 12
Fayetteville, AR 72704-8807
Phone (479) 442-8400
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
640 N Garland Ave
Suite 110
Fayetteville, AR 72701-3072
Phone (479) 442-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2462 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mertins Family Eye Care, Inc. | Optometrist | Current | Accepting new patients |
| McDonald Eye Services, PA | Optometrist | Past | Accepting new patients |
| McDonald Eye Services, PA | Optometrist | Past | Accepting new patients |
Locations
1188 N Salem Rd
Ste 12
Fayetteville, AR 72704
Phone (479) 442-8400
640 N Garland Ave
Ste 110
Fayetteville, AR 72701
Phone (479) 442-8400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Fayetteville, AR
- NPI 1023897253
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Fayetteville, AR
- NPI 1114052164
-
dba McDonald Eye Associates
- Ophthalmology Physician
- Fayetteville, AR
- NPI 1407850217
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1093719957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 N SALEM RD",
"address_2": "SUITE 12",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727048807",
"telephone_number": "479-442-8400",
"fax_number": "800-807-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 N SALEM RD",
"address_2": "SUITE 12",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727048807",
"telephone_number": "479-442-8400",
"fax_number": "800-807-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTINS",
"first_name": "ALLYSON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.