Organization Active NPI

Elite Eye Care & Optical LLC

  • Optometrist
  • Jonesboro, AR
National Provider Identifier
1386795094
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2540 Issued in AR
Legal business name
ELITE EYE CARE & OPTICAL LLC
Practice address
2100 E Highland Dr Ste 100
Jonesboro, AR 72401-5383
Phone
(870) 972-6040
Fax
(870) 972-5337
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Dr. Cade M Wilson, O.D.NPI 1992716286
Title
Owner
Phone
(870) 972-6040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2540 AR Primary

Addresses

Primary practice location

2100 E Highland Dr Ste 100
Jonesboro, AR 72401-5383

Mailing address

2100 E Highland Dr Ste 100
Jonesboro, AR 72401-5383
Phone (870) 972-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070509000494 AR Part B Supplier - Clinic/Group Practice 7416053368 Receives reassigned benefits from 7 practitioners
Practice locations: Jonesboro, AR; Paragould, AR
O20100930059172 AR DME Supplier - Physician - OptometristDME Supplier - Optician 7416053368 Practice locations: Jonesboro, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Elite Eye Care & Optical, LLC2100 E Highland Dr, Jonesboro, AR 72401-5383(870) 972-6040 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Feb 5, 2007

National Provider Directory

National Provider Directory

Locations

2100 E Highland Dr
Ste 100
Jonesboro, AR 72401
Phone (870) 336-9090

1515 W Kingshighway
Unit 2
Paragould, AR 72450
Phone (870) 215-0000

1515 W Kingshighway
Unit B
Paragould, AR 72450
Phone (870) 215-0000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1386795094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HIGHLAND DR STE 100",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015383",
            "telephone_number": "870-972-6040",
            "fax_number": "870-972-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HIGHLAND DR STE 100",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015383",
            "telephone_number": "870-972-6040",
            "fax_number": "870-972-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EYE CARE & OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CADE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-972-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.