Individual provider Active NPI

Raymond Marc Carozza, O.D.

  • Optometrist
  • Arkadelphia, AR
National Provider Identifier
1316959596
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6888T Issued in TX
Practice address
2915 Cypress Rd
Suite B
Arkadelphia, AR 71923-4228
Phone
(870) 246-5090
Fax
(870) 246-7421
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6888T TX Primary

Addresses

Primary practice location

2915 Cypress Rd
Suite B
Arkadelphia, AR 71923-4228

Mailing address

2915 Cypress Rd.
Suite B
Arkadelphia, AR 71923
Phone (870) 246-5090

Other identifiers 4

IdentifierTypeStateIssuer
1316959596OtherTXNPI
49978OtherTXAR BCBS
81613QOtherTXTX BCBS
6888TOtherTXSTATE LICENSE

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
I20070505000171 AR Practitioner - Optometry 4880796275 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Eyecare Center IncGroup PAC ID 8628115664, 2 clinicians

Practice addresses (Care Compare)

13700 David O Dodd Rd
Little Rock, AR 72210-2747
Phone (501) 907-8200

1400 Hwy 79 167 Byp
Fordyce, AR 71742-1728
Phone (870) 352-2104

6411 Valley Ranch Dr
Little Rock, AR 72223-4543
Phone (501) 868-8857

Merit-based Incentive Payment System (MIPS)

Final score
91.56 of 100Reported as group
Quality
63.13
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Thu Van OD PA Optometrist CurrentSince Sep 12, 2024 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients
James Eyecare Center, Inc Optometrist CurrentSince Jan 26, 2019 Accepting new patients

Locations

1155 Skyline Dr
Conway, AR 72032
Phone (501) 329-2020

6411 Valley Ranch Dr
Little Rock, AR 72223
Phone (501) 687-0826

1910 Martin Luther King Blvd
Malvern, AR 72104
Phone (501) 332-7558

114 E 49th St
Texarkana, AR 71854
Phone (870) 774-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1316959596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 CYPRESS RD.",
            "address_2": "SUITE B",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "71923",
            "telephone_number": "870-246-5090",
            "fax_number": "870-246-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 CYPRESS RD",
            "address_2": "SUITE B",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234228",
            "telephone_number": "870-246-5090",
            "fax_number": "870-246-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROZZA",
        "first_name": "RAYMOND",
        "middle_name": "MARC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6888T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316959596",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "49978",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BCBS",
            "identifier": "81613Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6888T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

Verify at the official NPI Registry.