Active NPI
William Wesley Dunnam, O.D.
- Optometrist
- Piggott, AR
National Provider Identifier
1134579154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2735
- Practice address
- 325 W Jackson St
Piggott, AR 72454-2014 - Phone
- (870) 598-2625
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 2735 | AR | Primary |
Addresses
Primary practice location
325 W Jackson St
Piggott, AR 72454-2014
Mailing address
325 W Jackson St
Piggott, AR 72454-2014
Phone (870) 598-2625
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170605001636 | AR | Practitioner - Optometry | 1658648126 | 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
Practice addresses (Care Compare)
2207 Linwood Dr
Paragould, AR 72450-6120
Phone (870) 236-1313
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2735 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragould Family Vision PLLC | Optometrist | Current | Accepting new patients |
| Progressive Eye Center Inc | Optometrist | Current | Accepting new patients |
| Progressive Eye Center & Boutique | Optometrist | Past | Accepting new patients |
Locations
197 Hospital Dr
Ste A
Cherokee Vlg, AR 72529
Phone (870) 257-2100
2207 Linwood Dr
Paragould, AR 72450
Phone (870) 236-1313
Organizations & group practices 3
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
- North Little Rock, AR
- NPI 1689932915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486252800000",
"number": "1134579154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W JACKSON ST",
"city": "PIGGOTT",
"state": "AR",
"postal_code": "724542014",
"telephone_number": "870-598-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W JACKSON ST",
"city": "PIGGOTT",
"state": "AR",
"postal_code": "724542014",
"telephone_number": "870-598-2625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNAM",
"first_name": "WILLIAM",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2017-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Piggott, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; 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.