Gavin Trent McDowell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2577 Issued in AR

Practice address

1920 Malcolm Ave
Newport, AR 72112-3628

Phone

(870) 523-3333

Fax

(855) 838-5851

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Custom Eyes Vision Care of Newport, Inc

  • Optometrist
  • Newport, AR
  • NPI 1598937328
  Medicare reassignment NPD Authorized official
• Berryville Eyecare Clinic

  • Optometrist
  • Berryville, AR
  • NPI 1427194919
  Medicare reassignment NPD
• Fayetteville Eyecare Clinic

  • Optometrist
  • Fayetteville, AR
  • NPI 1588999767
  NPD (past)
• William C. Wyatt, O.D., P.a.

  • Optometrist
  • Pocahontas, AR
  • NPI 1992976039
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1154330637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721120370",
            "telephone_number": "870-523-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MALCOLM AVE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123628",
            "telephone_number": "870-523-3333",
            "fax_number": "855-838-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "GAVIN",
        "middle_name": "TRENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234106722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Mansko, MS, CCC-SLP
• Patricia M Mason
• Maxus Inc
• Kim McCartney, RECOVERY ASSISTANT
• Brandy McComas, MHPP
• Amanda McGuire
• Kelly Lynn McKinney, D.M.D.
• Anna Mears, PTA
• Barbara Diane Menley, DNP, APRN
• Michael W. Brown, DDS

• Optometrist in Newport, AR
• Providers in Newport, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.

Verify at the official NPI Registry.