Individual provider Active NPI

William Eric Futrell, OD

  • Optometrist
  • Pocahontas, AR
National Provider Identifier
1093747735
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2423 Issued in AR
Practice address
2401 Highway 67 S
Pocahontas, AR 72455-4119
Phone
(870) 892-4472
Fax
(870) 892-8974
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2423 AR Primary

Addresses

Primary practice location

2401 Highway 67 S
Pocahontas, AR 72455-4119

Mailing address

2401 Highway 67 S
Pocahontas, AR 72455-4119
Phone (870) 892-4472

Other identifiers 1

IdentifierTypeStateIssuer
127571722MedicaidAR

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
I20101130000110 AR Practitioner - Optometry 9537355854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care Center of Northeast Arkansas LLCGroup PAC ID 2860470374, 8 clinicians

Practice addresses (Care Compare)

623 E Matthews Ave
Jonesboro, AR 72401-3145

Merit-based Incentive Payment System (MIPS)

Final score
96.04 of 100Reported as individual
Quality
89.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2423ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Center of Northeast Arkansas LLC Optometrist CurrentSince Jun 1, 1999 Accepting new patients

Locations

623 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 536-4100

623 E Matthews Ave
Ste A
Jonesboro, AR 72401
Phone (870) 932-2211

2401 Highway 67 S
Pocahontas, AR 72455
Phone (870) 892-4472

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1093747735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 HIGHWAY 67 S",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554119",
            "telephone_number": "870-892-4472",
            "fax_number": "870-892-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HIGHWAY 67 S",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554119",
            "telephone_number": "870-892-4472",
            "fax_number": "870-892-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTRELL",
        "first_name": "WILLIAM",
        "middle_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127571722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.