Otha Wade Warren, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2892 Issued in AR

Practice address

1225 W Beebe Capps Expy
Searcy, AR 72143-5179

Phone

(501) 268-5808

Fax

(501) 305-3370

NPI assigned

Jul 8, 2024

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

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

Southern College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Family Eyecare of SearcyGroup PAC ID 0648316596, 2 clinicians

Little Rock Family EyecareGroup PAC ID 6002942760, 2 clinicians

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 and National Provider Directory roles.

• Arkansas Family Eyecare of Searcy

  • Optometrist
  • Searcy, AR
  • NPI 1508093436

  AR, Optometrist

  Medicare reassignment Care Compare group NPD
• Little Rock Family Eyecare

  • Optometrist
  • Little Rock, AR
  • NPI 1912239906

  AR, Optometrist

  Medicare reassignment Care Compare group NPD
• Arkansas Family Eyecare of Malvern

  • Optometrist
  • Malvern, AR
  • NPI 1902383631
  NPD (past)
• Eureka Springs Eyecare Clinic

  • Optometrist
  • Eureka Springs, AR
  • NPI 1528214863
  NPD (past)

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1295571487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 HURON LN STE 200A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111861",
            "telephone_number": "501-268-5808",
            "fax_number": "501-305-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435179",
            "telephone_number": "501-268-5808",
            "fax_number": "501-305-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "OTHA",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Ward, MS, CCC-SLP
• Morgan Nicole Warden, QBHP
• Whitney Leigh Warden, PHARMD
• Paul Daniel Warner IV, DPT
• Hannah J Warren
• Joseph Daniel Washington
• Macy Washington, APRN
• Mitzi A Washington, MD
• Robert Scott Waters
• Christina Watkins, PHARMD

• All providers in Searcy, AR
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.