Individual provider Active NPI

Norman Wayne Bryant, OD

  • Optometrist
  • Helena, AR
National Provider Identifier
1326064247
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2307 Issued in AR
Practice address
309 Elm
Helena, AR 72342-3509
Phone
(870) 338-8462
Fax
(870) 338-8840
NPI assigned
Jul 14, 2006
Last updated
Oct 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2307 AR Primary

Addresses

Primary practice location

309 Elm
Helena, AR 72342-3509

Mailing address

309 Elm
PO Box 130
Helena, AR 72342-3509
Phone (870) 338-8462

Other identifiers 1

IdentifierTypeStateIssuer
103738722MedicaidAR

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
I20080614000133 AR Practitioner - Optometry 3274604525 Practice locations: Helena, AR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2307ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Memphis Eye Center, PA PastSince Aug 1, 2016 Accepting new patients

Organizations & group practices 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1326064247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ELM",
            "address_2": "PO BOX 130",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723423509",
            "telephone_number": "870-338-8462",
            "fax_number": "870-338-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ELM",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723423509",
            "telephone_number": "870-338-8462",
            "fax_number": "870-338-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "NORMAN",
        "middle_name": "WAYNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103738722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AR

Sources for this page

Verify at the official NPI Registry.