Active NPI
Robyn Jeanette Hull, O.D.
- Optometrist
- Conway, AR
National Provider Identifier
1255567657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207760722 | Medicaid | AR |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2644 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hull Family Eyecare | Current | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Arkansas Family Eyecare of Malvern | Optometrist | Past | Accepting new patients |
Locations
1250 S Amity Rd
Conway, AR 72032
Phone (501) 205-7460
Interoperability endpoints
- 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.
-
- Clinic/Center
- Conway, AR
- NPI 1093422719
-
- Optometrist
- Malvern, AR
- NPI 1902383631
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Tahlequah, OK
- NPI 1093722324
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.