Individual provider Active NPI

Myrna Sidarous Hanna, OD

  • Optometrist
  • Searcy, AR
National Provider Identifier
1316670748
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2846 Issued in AR
Practice address
410 W Race Ave
Searcy, AR 72143-4133
Phone
(501) 268-3577
NPI assigned
Jul 4, 2022
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2846 AR Primary

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 1

  • Dr. Myrna Mary Sidarous Former name

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
I20230405000677 AR Practitioner - Optometry 8123493137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLPGroup PAC ID 3476535121, 17 clinicians

Practice addresses (Care Compare)

201 Executive CT
Suite a
Little Rock, AR 72205-4536
Phone (501) 224-5658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Vision Development Center PA Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Flippin-Westfall Eyecare Center PC Optometrist CurrentSince Mar 13, 2023 Accepting new patients
Little Rock Eye Clinic, LLP Optometrist CurrentSince May 17, 2025 Accepting new patients

Locations

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

4200 N Rodney Parham Rd
Ste 101
Little Rock, AR 72212
Phone (501) 224-5658

9600 Baptist Health Dr
Ste 230
Little Rock, AR 72205
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

  • Direct secure messaging: myrnahannaod@littlerockeyeclinic.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1316670748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434133",
            "telephone_number": "703-489-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434133",
            "telephone_number": "501-268-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MYRNA",
        "middle_name": "SIDAROUS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRNA",
            "last_name": "SIDAROUS",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.