Individual provider Active NPI

Raymond Floyd Jones, OD

  • Optometrist
  • White Hall, AR
National Provider Identifier
1164478905
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2280 Issued in AR
Practice address
8025 Dollarway Rd
White Hall, AR 71602
Phone
(870) 247-2015
Fax
(870) 247-0238
NPI assigned
May 25, 2006
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 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 2280 AR Primary

Addresses

Primary practice location

8025 Dollarway Rd
White Hall, AR 71602

Mailing address

8025 Dollarway Rd
White Hall, AR 71602-2855
Phone (870) 247-2015

Other identifiers 1

IdentifierTypeStateIssuer
103027722MedicaidAR

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
I20041022001076 AR Practitioner - Optometry 0143281071 Practice locations: White Hall, AR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8025 Dollarway Rd
White Hall, AR 71602-2855
Phone (870) 247-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Clinic Inc Optometrist CurrentSince Feb 25, 2004 Accepting new patients

Locations

8025 Dollarway Rd
White Hall, AR 71602
Phone (870) 247-2015

Organizations & group practices 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1164478905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 DOLLARWAY RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022855",
            "telephone_number": "870-247-2015",
            "fax_number": "870-247-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 DOLLARWAY RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "71602",
            "telephone_number": "870-247-2015",
            "fax_number": "870-247-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RAYMOND",
        "middle_name": "FLOYD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103027722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

Verify at the official NPI Registry.