Organization Active NPI

Mertins Family Eye Care, Inc.

  • Optometrist
  • Fayetteville, AR
National Provider Identifier
1114052164
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2462 Issued in AR
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Allyson Mertins, O.D.NPI 1093719957
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
49239OtherARBCBS
132197722MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.