Organization Active NPI

Malcolm R Hutchins O D P a

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1164735981
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR 2407 Issued in AR
Legal business name
MALCOLM R HUTCHINS O D P A
Practice address
5111 Rogers Ave
Suite 54
Fort Smith, AR 72903-2047
Phone
(479) 452-1496
Fax
(479) 452-1830
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Dr. Malcolm R Hutchins, O DNPI 1538217229
Title
Owner
Phone
(479) 422-5636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AR 2407 AR Primary

Addresses

Primary practice location

5111 Rogers Ave
Suite 54
Fort Smith, AR 72903-2047

Mailing address

3603 NW Mountainview Rd
Bentonville, AR 72712-8088
Phone (479) 422-5636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817000260 AR Part B Supplier - Clinic/Group Practice 2163556812 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

110 Saratoga Way
Ste 7
Farmington, AR 72730
Phone (479) 267-3937

4148 W Martin Luther King Jr Blvd
Ste 10
Fayetteville, AR 72704
Phone (479) 267-3937

203 N University Ave
Ste 160
Little Rock, AR 72205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1164735981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 NW MOUNTAINVIEW RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128088",
            "telephone_number": "479-422-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE",
            "address_2": "SUITE 54",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-452-1496",
            "fax_number": "479-452-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM R HUTCHINS O D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "HUTCHINS",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-422-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR 2407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.