Organization Active NPI

R Dean Gurley OD PA

  • Optometrist
  • Blytheville, AR
National Provider Identifier
1245470608
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2285 Issued in AR
Legal business name
R DEAN GURLEY OD PA
Practice address
527 N 6TH St Ste a
Blytheville, AR 72315-2431
Phone
(870) 762-2297
NPI assigned
Feb 25, 2009
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
R Dean Gurley, OD
Title
Dr of Optometry
Phone
(870) 762-2297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2285 AR Primary

Addresses

Primary practice location

527 N 6TH St Ste a
Blytheville, AR 72315-2431

Mailing address

527 N 6TH St Ste a
Blytheville, AR 72315-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090625000686 AR Part B Supplier - Clinic/Group Practice 0345391611 Receives reassigned benefits from 7 practitioners
Practice locations: Blytheville, AR; West Memphis, AR; Osceola, AR
O20100930026537 AR DME Supplier - Physician - Optometrist 0345391611 Practice locations: Blytheville, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
R Dean Gurley OD PA527 N 6TH St, Blytheville, AR 72315-2407(870) 762-2297 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Mar 6, 2008

National Provider Directory

National Provider Directory

Locations

527 N 6th St
Ste A
Blytheville, AR 72315
Phone (870) 762-2297

401 W Hale Ave
Osceola, AR 72370
Phone (870) 563-3800

901 Linwood Dr
Paragould, AR 72450
Phone (870) 239-2251

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1245470608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N 6TH ST STE A",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N 6TH ST STE A",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152431",
            "telephone_number": "870-762-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DEAN GURLEY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "R DEAN",
        "authorized_official_title_or_position": "DR OF OPTOMETRY",
        "authorized_official_telephone_number": "870-762-2297",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.