Organization Active NPI

William Lawrence Yoos, O.D.,P.a.

Doing business as Dr. Yoos Eye Care & Optical

  • Optometrist
  • Bella Vista, AR
National Provider Identifier
1396947669
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1100235 Issued in AR
Legal business name
WILLIAM LAWRENCE YOOS, O.D.,P.A.
Doing business as
Dr. Yoos Eye Care & Optical
Practice address
2692 Bella Vista Way
Bella Vista, AR 72714-3704
Phone
(479) 876-2020
Fax
(479) 876-2508
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mrs. Rose Marie Yoos
Title
Office Manager
Phone
(479) 876-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP1100235 AR Primary

Addresses

Primary practice location

2692 Bella Vista Way
Bella Vista, AR 72714-3704

Mailing address

2692 Bella Vista Way
Bella Vista, AR 72714-3704
Phone (479) 876-2020

Other identifiers 2

IdentifierTypeStateIssuer
122347722MedicaidAR
135801722MedicaidAR

Other names 1

  • DR. YOOS EYE CARE & OPTICAL Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930066938 AR DME Supplier - Physician - Optometrist 3577684711 Practice locations: Bella Vista, AR
O20120731000204 AR Part B Supplier - Clinic/Group Practice 3577684711 Receives reassigned benefits from 1 practitioner
Practice locations: Bella Vista, 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
William Lawrence Yoos, OD, PA2692 Bella Vista Way, Bella Vista, AR 72714-3704(479) 876-2020 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

2 Oldham Dr
Bella Vista, AR 72714

2692 Bella Vista Way
Bella Vista, AR 72714
Phone (479) 876-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1396947669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143704",
            "telephone_number": "479-876-2020",
            "fax_number": "479-876-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143704",
            "telephone_number": "479-876-2020",
            "fax_number": "479-876-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM LAWRENCE YOOS, O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "YOOS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-876-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "OP1100235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122347722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135801722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. YOOS EYE CARE & OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.