Individual provider Active NPI

Joe L Templeton Jr., O.D.

  • Optometrist
  • El Dorado, AR
National Provider Identifier
1295876365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2238 Issued in AR
Practice address
322 W Main St
El Dorado, AR 71730-5708
Phone
(870) 862-9583
Fax
(870) 862-9583
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2238 AR Primary

Addresses

Primary practice location

322 W Main St
El Dorado, AR 71730-5708

Mailing address

322 W Main St
El Dorado, AR 71730-5708
Phone (870) 862-9583

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
I20190117003227 AR Practitioner - Optometry 3476899006 Practice locations: El Dorado, AR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

322 W Main St
El Dorado, AR 71730-5708
Phone (870) 862-9584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295876365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305708",
            "telephone_number": "870-862-9583",
            "fax_number": "870-862-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305708",
            "telephone_number": "870-862-9583",
            "fax_number": "870-862-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLETON",
        "first_name": "JOE",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.