Active NPI
Mertins Family Eye Care, Inc.
- Optometrist
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2462
- Legal business name
- MERTINS FAMILY EYE CARE, INC.
- Practice address
- 640 N Garland Ave Ste 110
Fayetteville, AR 72701-3072 - Phone
- (479) 442-8400
- Fax
- (800) 807-8144
- NPI assigned
- Feb 22, 2007
- Last updated
- Mar 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allyson Mertins, O.D.
- Title
- Owner
- Phone
- (479) 442-8400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2462 | AR | |
| Optometrist | 152W00000X | 2462 | AR | Primary |
Addresses
Primary practice location
640 N Garland Ave Ste 110
Fayetteville, AR 72701-3072
Mailing address
640 N Garland Ave Ste 110
Fayetteville, AR 72701-3072
Phone (479) 442-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49239 | Other | AR | BCBS |
| 132197722 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
240 S Main St
#180
Bentonville, AR 72712
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 2
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 1093719957
-
- Optometrist
- Fayetteville, AR
- NPI 1023897253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1114052164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 N GARLAND AVE STE 110",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727013072",
"telephone_number": "479-442-8400",
"fax_number": "888-975-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 N GARLAND AVE STE 110",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727013072",
"telephone_number": "479-442-8400",
"fax_number": "800-807-8144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERTINS FAMILY EYE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "MERTINS",
"authorized_official_first_name": "ALLYSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-442-8400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AR",
"license": "2462",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49239",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132197722",
"state": "AR"
}
],
"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 Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.