Myrna Sidarous Hanna, OD
Individual provider Active NPI Optometrist · Searcy, AR
NPI 1316670748 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1316670748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2846 (AR)
- Practice address
- 410 W Race Ave
Searcy, AR 72143-4133 - Phone
- (501) 268-3577
- NPI assigned
- Jul 4, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Little Rock Eye Clinic LLP
Practice addresses (Care Compare)
201 Executive CT
Suite a
Little Rock, AR 72205-4536
Phone (501) 224-5658
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230405000677 | AR | Practitioner - Optometry | 8123493137 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2846 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flippin-Westfall Eyecare Center PC | Optometrist | Current |
Accepting new patients |
| Jacksonville Vision Development Center PA | Optometrist | Current |
Accepting new patients |
| Little Rock Eye Clinic, LLP | Optometrist | Current |
Accepting new patients |
Locations
9600 Baptist Health Dr
Ste 230
Little Rock, AR 72205
Phone (501) 224-5658
4200 N Rodney Parham Rd
Ste 101
Little Rock, AR 72212
Phone (501) 224-5658
201 Executive Ct
Ste A
Little Rock, AR 72205
Phone (501) 224-5658
4200 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 224-5658
4104 Richards Rd
North Little Rock, AR 72117
Phone (501) 224-5658
410 W Race Ave
Searcy, AR 72143
Phone (501) 268-3577
Interoperability endpoints
- myrnahannaod@littlerockeyeclinic.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2846 | AR | Yes |
Addresses
Primary practice location
410 W Race Ave
Searcy, AR 72143-4133
Mailing address
410 W Race Ave
Searcy, AR 72143-4133
Phone (703) 489-6599
Other names
- Dr. Myrna Mary Sidarous
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.