Individual provider Active NPI

Alexandra Reid Meredith, O.D.

  • Optometrist
  • Searcy, AR
National Provider Identifier
1114374626
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2736 Issued in AR
Practice address
410 W Race Ave
Searcy, AR 72143-4133
Phone
(501) 268-3577
NPI assigned
May 16, 2016
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 2736 AR Primary

Addresses

Primary practice location

410 W Race Ave
Searcy, AR 72143-4133

Mailing address

410 W Race Ave
Searcy, AR 72143-4133
Phone (501) 268-3577

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
I20160830001825 AR Practitioner - Optometry 7012202096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vance Vision Clinic PAGroup PAC ID 3375726219, 3 clinicians

Practice addresses (Care Compare)

7345 Hwy 62 W
Gassville, AR 72635-8636
Phone (870) 435-3333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2736ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Vision Development Center PA Optometrist CurrentSince Nov 3, 2019 Accepting new patients
Flippin-Westfall Eyecare Center PC Optometrist CurrentSince Jul 5, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

410 W Race Ave
Searcy, AR 72143
Phone (501) 268-3577

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1114374626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434133",
            "telephone_number": "501-268-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434133",
            "telephone_number": "501-268-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "ALEXANDRA",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.