Individual provider Active NPI

Robyn Jeanette Hull, O.D.

  • Optometrist
  • Conway, AR
National Provider Identifier
1255567657
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2644 Issued in AR
Practice address
1250 S Amity Rd
Conway, AR 72032-8732
Phone
(501) 575-6230
Fax
(501) 575-6249
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 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 2644 AR Primary

Addresses

Primary practice location

1250 S Amity Rd
Conway, AR 72032-8732

Mailing address

129 N Woodland Dr
Conway, AR 72032-9162
Phone (479) 856-9344

Other identifiers 1

IdentifierTypeStateIssuer
207760722MedicaidAR

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
I20141024001050 AR Practitioner - Optometry 1850438771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1250 S Amity Rd
Conway, AR 72032-8732
Phone (501) 575-6230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2644ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Family Eyecare CurrentSince Oct 31, 2022 Accepting new patients
Cherokee Nation PastSince Mar 1, 2021 Accepting new patients
Cherokee Nation Past Accepting new patients
Arkansas Family Eyecare of Malvern Optometrist PastSince Aug 31, 2015 Accepting new patients

Locations

1250 S Amity Rd
Conway, AR 72032
Phone (501) 205-7460

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1255567657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N WOODLAND DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720329162",
            "telephone_number": "479-856-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S AMITY RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720328732",
            "telephone_number": "501-575-6230",
            "fax_number": "501-575-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "ROBYN",
        "middle_name": "JEANETTE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207760722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.