Jennifer A Button, OD
Individual provider Active NPI Optometrist · Blytheville, AR
NPI 1104478296 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1104478296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2106 (KS)
- Practice address
- 527 N 6TH St
Blytheville, AR 72315-2407 - Phone
- (870) 762-2297
- Fax
- (870) 763-2552
- NPI assigned
- Jul 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- R Dean Gurley OD PA
Barry L Harris OD PA
Practice addresses (Care Compare)
527 N 6TH St
Blytheville, AR 72315-2407
Phone (870) 762-2297
901 Linwood Dr
Paragould, AR 72450-4854
Phone (870) 239-2251
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 35 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220825003418 | AR | Practitioner - Optometry | 7012340847 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2836 | AR | MD | Dentist |
| 2106 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Dean Gurley OD PA | Optometrist | Current |
Accepting new patients |
| Barry L Harris, OD, PA | Optometrist | Current |
Accepting new patients |
Locations
527 N 6th St
Ste A
Blytheville, AR 72315
Phone (870) 762-2297
527 N 6th St
Blytheville, AR 72315
Phone (870) 762-2297
401 W Hale Ave
Osceola, AR 72370
Phone (870) 563-3800
901 Linwood Dr
Paragould, AR 72450
Phone (870) 239-2251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2106 | KS | Yes |
Addresses
Primary practice location
527 N 6TH St
Blytheville, AR 72315-2407
Mailing address
527 N 6TH St
Blytheville, AR 72315-2407
Phone (870) 762-2297
Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.