Individual provider Active NPI

William Wesley Dunnam, O.D.

  • Optometrist
  • Piggott, AR
National Provider Identifier
1134579154
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2735 Issued in AR
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

Updated by the provider on Feb 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2735ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragould Family Vision PLLC Optometrist CurrentSince Jun 23, 2023 Accepting new patients
Progressive Eye Center Inc Optometrist CurrentSince Aug 31, 2025 Accepting new patients
Progressive Eye Center & Boutique Optometrist PastSince Jul 1, 2017 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.

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

Verify at the official NPI Registry.