Active NPI
W. Brent Hall, O.D. P.a.
- Optometrist
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- W. BRENT HALL, O.D. P.A.
- Practice address
- 3001 W 28TH Ave
Pine Bluff, AR 71603-4802 - Phone
- (870) 541-2020
- Fax
- (870) 536-0358
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Brent Hall, O.D.
- Title
- Owner
- Phone
- (870) 541-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3001 W 28TH Ave
Pine Bluff, AR 71603-4802
Mailing address
3001 W 28TH Ave
Pine Bluff, AR 71603-4802
Phone (870) 541-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158851722 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hall Eye Care | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3001 W 28th Ave
Pine Bluff, AR 71603
Phone (870) 535-8289
2501 W 28th Ave
Pine Bluff, AR 71603
Phone (870) 535-8289
Interoperability endpoints
- eyedoc14@halleyecare.eyefinity-direct.com
- tcovington@halleyecare.eyefinity-direct.com
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Pine Bluff, AR
- NPI 1457390080
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- NPI 1255463311
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- Optometrist
- Little Rock, AR
- NPI 1073826608
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- Optometrist
- El Dorado, AR
- NPI 1306001847
-
- Optometrist
- Camden, AR
- NPI 1871685065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221004800000",
"number": "1295760767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 W 28TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716034802",
"telephone_number": "870-541-2020",
"fax_number": "870-536-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W 28TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716034802",
"telephone_number": "870-541-2020",
"fax_number": "870-536-0358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W. BRENT HALL, O.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2008-09-10",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "BRENT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-541-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158851722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.