Individual provider Active NPI

Matthew B Howell, OD

  • Optometrist
  • Bentonville, AR
National Provider Identifier
1114597481
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2831 Issued in AR
Practice address
107 S Main St
Bentonville, AR 72712-5960
Phone
(903) 306-8704
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2831 AR Primary

Addresses

Primary practice location

107 S Main St
Bentonville, AR 72712-5960

Mailing address

107 S Main St
Bentonville, AR 72712-5960
Phone (479) 339-9010

Other practice location 1

3919 N Mall Ave
Fayetteville, AR 72703-4906
Phone (479) 339-1116

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
I20210915000096 AR Practitioner - Optometry 0446656573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 S Main St
Bentonville, AR 72712-5960
Phone (479) 339-9010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2831ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fayetteville Family Eye Care Optometrist CurrentSince Aug 10, 2021 Accepting new patients
Eyes on the Square Optometrist CurrentSince Feb 15, 2022 Accepting new patients

Locations

107 S Main St
Bentonville, AR 72712
Phone (479) 339-9010

3919 N Mall Ave
Fayetteville, AR 72703
Phone (479) 443-9267

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.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1114597481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125960",
            "telephone_number": "479-339-9010",
            "fax_number": "479-339-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125960",
            "telephone_number": "903-306-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 N Mall Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034906",
            "country_code": "US",
            "telephone_number": "479-339-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "MATTHEW",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.