Bobby Decker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2518 Issued in AR

Practice address

813 W Central Ave
Suite 5
Bentonville, AR 72712-5787

Phone

(479) 855-0009

Fax

(479) 876-7105

NPI assigned

Jun 9, 2005

Last updated

Dec 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Decker Eye Care, LLC

  • Optometrist
  • Bentonville, AR
  • NPI 1891988200
  Medicare reassignment NPD Authorized official
• McDonald Eye Services, PA

  dba McDonald Eye Associates

  • Ophthalmology Physician
  • Fayetteville, AR
  • NPI 1407850217

  Optometrist

  NPD (past)
• McDonald Eye Services, PA

  • Eyewear Supplier
  • Fayetteville, AR
  • NPI 1609990357

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1245234103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W CENTRAL AVE",
            "address_2": "SUITE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125787",
            "telephone_number": "479-855-0009",
            "fax_number": "479-876-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W CENTRAL AVE",
            "address_2": "SUITE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125787",
            "telephone_number": "479-855-0009",
            "fax_number": "479-876-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "BOBBY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145384722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DCTR Llyd, LLC (thre Clinic)
• Rane Dearing
• Lacey Deason
• Jennifer Decelle
• Decker Eye Care, LLC
• Rebecca Declerk
• Jacqueline Deens
• Deep Roots Health Center Inc
• Elvin Delgado-Ramos
• Darian Dellorto

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.