Active NPI
Andy Langston, OD, PA
- Optometrist
- Holiday Island, AR
National Provider Identifier
1336112465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2430
- Practice address
- 1 Park Dr Ste B
Holiday Island, AR 72631-9221 - Phone
- (479) 253-4040
- Fax
- (479) 253-5636
- NPI assigned
- Feb 9, 2006
- Last updated
- May 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2430 | AR | Primary |
Addresses
Primary practice location
1 Park Dr Ste B
Holiday Island, AR 72631-9221
Mailing address
1 Park Dr Ste B
Holiday Island, AR 72631-9221
Phone (479) 253-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126039722 | Medicaid | AR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
594 E Millsap Rd
Fayetteville, AR 72703-4096
Phone 4794422020107
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.36 of 100
- Quality
- 93.44
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2430 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Center, PA | Optometrist | Current | Accepting new patients |
| McDonald Eye Services, PA | Optometrist | Past | Accepting new patients |
| McDonald Eye Services, PA | Optometrist | Past | Accepting new patients |
Locations
594 E Millsap Rd
Fayetteville, AR 72703
Phone (479) 442-2020
Interoperability endpoints
- alangston@eyecenternwa.emadirect.md
Organizations & group practices 4
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.
-
- Optometrist
- Holiday Island, AR
- NPI 1659558609
-
dba McDonald Eye Associates
- Ophthalmology Physician
- Fayetteville, AR
- NPI 1407850217
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1336112465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK DR STE B",
"city": "HOLIDAY ISLAND",
"state": "AR",
"postal_code": "726319221",
"telephone_number": "479-253-4040",
"fax_number": "479-253-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK DR STE B",
"city": "HOLIDAY ISLAND",
"state": "AR",
"postal_code": "726319221",
"telephone_number": "479-253-4040",
"fax_number": "479-253-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGSTON",
"first_name": "ANDY",
"credential": "OD, PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126039722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holiday Island, AR
- Holiday Island Operations, LLC (Prestige Assisted Living)
- Holiday Island Pharmacy, LLC (Holiday Island Pharmacy)
- Amy Johnson, RPH
- Kristin Jones, COTA
- Lindsey Jones, COTA
- Danyal Loftin, PTA
- Mercy Clinic Springfield Communities (Mercy Clinic-Holiday Island)
- Reilly Nichols
- Peachtree Village at Holiday Island
- Jeffery L. Price, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.