Tiffanie T Roller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2869 Issued in AR

Practice address

3689 N Steele Blvd
Fayetteville, AR 72703-5347

Phone

(479) 521-2555

NPI assigned

May 23, 2023

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffanie Nguyen Former name

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McDonald Eye Services P.a.Group PAC ID 7719995117, 6 clinicians

Practice addresses (Care Compare)

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.

• McDonald Eye Services, PA

  dba McDonald Eye Associates

  • Ophthalmology Physician
  • Fayetteville, AR
  • NPI 1407850217

  Optometrist

  Medicare reassignment Care Compare group NPD
• McDonald Eye Services, PA

  • Eyewear Supplier
  • Fayetteville, AR
  • NPI 1609990357

  Optometrist

  NPD

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1295427870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 W SADDLEBROOK LN APT SUITE",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588400",
            "telephone_number": "479-531-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 N STEELE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035347",
            "telephone_number": "479-521-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "TIFFANIE",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANIE",
            "last_name": "NGUYEN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Aldrin Rojeski, PA-C
• Roller Weight Loss Institute,Inc.
• Brianna Roller
• Joshua E Roller, MD
• Kristin R Roller, MD
• Tony Scott Roller II, MD
• Sara Romero-Mancia
• Jovan Romero
• Lauren Mackenzie Romo, PHARMD
• Root & Rise, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.