Individual provider Active NPI

William Zachery Inboden, OD

  • Optometrist
  • Jonesboro, AR
National Provider Identifier
1235655051
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2765 Issued in AR
Practice address
623 E Matthews Ave Ste a
Jonesboro, AR 72401-3145
Phone
(870) 932-2211
Fax
(870) 972-5152
NPI assigned
Aug 15, 2017
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2765 AR Primary

Addresses

Primary practice location

623 E Matthews Ave Ste a
Jonesboro, AR 72401-3145

Mailing address

623 E Matthews Ave Ste a
Jonesboro, AR 72401-3145
Phone (870) 932-2211

Other practice location 1

4002 Linwood Dr
Paragould, AR 72450
Phone (870) 932-2211

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
I20180129002512 AR Practitioner - Optometry 5092075762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care Center of Northeast Arkansas LLCGroup PAC ID 2860470374, 8 clinicians

Practice addresses (Care Compare)

623 E Matthews Ave
Suite a
Jonesboro, AR 72401-3145
Phone (870) 932-2211

Merit-based Incentive Payment System (MIPS)

Final score
92.22 of 100Reported as group
Quality
98.17
Improvement activities
40
Cost
76.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Eye Care & Optical LLC Optometrist CurrentSince Oct 12, 2017 Accepting new patients
Vision Care Center of Northeast Arkansas LLC Optometrist CurrentSince Jun 17, 2024 Accepting new patients

Locations

1000 Windover Rd
Ste C
Jonesboro, AR 72401
Phone (870) 972-6040

2100 E Highland Dr
Ste 100
Jonesboro, AR 72401
Phone (870) 336-9090

623 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 932-2211

623 E Matthews Ave
Ste A
Jonesboro, AR 72401
Phone (870) 932-2211

4002 Linwood Dr
Paragould, AR 72450
Phone (870) 932-2211

Interoperability endpoints

  • Direct secure messaging: winboden@vccna.intellechartdirect.net

Organizations & group practices 2

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1235655051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E MATTHEWS AVE STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-932-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 E MATTHEWS AVE STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-932-2211",
            "fax_number": "870-972-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4002 Linwood Dr",
            "address_purpose": "LOCATION",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "country_code": "US",
            "telephone_number": "870-932-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INBODEN",
        "first_name": "WILLIAM",
        "middle_name": "ZACHERY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.