Active NPI
Mellinda Stewart, OD
- Optometrist
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10339T
- Practice address
- 3737 W Walnut St
Rogers, AR 72756-1839 - Phone
- (479) 246-1700
- NPI assigned
- May 15, 2021
- 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 | 10339T | TX | Primary |
Addresses
Primary practice location
3737 W Walnut St
Rogers, AR 72756-1839
Mailing address
4114 Medical Dr Apt 23303
San Antonio, TX 78229-5669
Phone (254) 289-6903
Other practice location 1
25 Cunningham Cor
Bella Vista, AR 72714-3520
Phone (479) 256-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2853 | Other | AR | ARKANSAS BOARD OF OPTOMETRY |
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Cunningham Cor
Bella Vista, AR 72714-3520
Phone (479) 268-4047
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.75 of 100
- Quality
- 99.17
- Improvement activities
- 40
- Cost
- 76.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10339T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boozman-Hof Regional Eye Clinic PA | Optometrist | Current | Accepting new patients |
| Boozman-Hof Regional Eye Clinic | Optometrist | Past | Accepting new patients |
Locations
25 Cunningham Cor
Bella Vista, AR 72714
Phone (479) 246-1700
3737 W Walnut St
Rogers, AR 72756
Phone (479) 246-1700
Interoperability endpoints
- mstewart@bhrec.intellechartdirect.net
Organizations & group practices 2
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.
-
- Optometrist
- Rogers, AR
- NPI 1356317473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657411200000",
"number": "1104490044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 MEDICAL DR APT 23303",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295669",
"telephone_number": "254-289-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 W WALNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727561839",
"telephone_number": "479-246-1700"
}
],
"practiceLocations": [
{
"address_1": "25 Cunningham Cor",
"address_purpose": "LOCATION",
"city": "Bella Vista",
"state": "AR",
"postal_code": "727143520",
"country_code": "US",
"telephone_number": "479-256-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "MELLINDA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-15",
"last_updated": "2022-07-10",
"certification_date": "2022-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "10339T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BOARD OF OPTOMETRY",
"identifier": "2853",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.