Organization Active NPI

Eye Care Specialties, Inc.

  • Optometrist
  • Hot Springs Village, AR
National Provider Identifier
1407818776
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR 2435 Issued in AR
Legal business name
EYE CARE SPECIALTIES, INC.
Practice address
102 Plaza Carmona PL
Hot Springs Village, AR 71909-3000
Phone
(501) 922-5778
Fax
(501) 922-6659
NPI assigned
Apr 3, 2006
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Beth Pelley, RHIT
Title
Billing Manager
Phone
(501) 922-5778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AR 2436 AR
Optometrist 152W00000X AR 2435 AR Primary

Addresses

Primary practice location

102 Plaza Carmona PL
Hot Springs Village, AR 71909-3000

Mailing address

102 Plaza Carmona PL
Hot Springs Village, AR 71909-3000
Phone (501) 922-5778

Other identifiers 4

IdentifierTypeStateIssuer
5B824OtherARBLUE CROSS BLUE SHIELD
146766722MedicaidAR
146928722MedicaidAR
126962722MedicaidAR

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081016000204 AR Part B Supplier - Clinic/Group Practice 7911065115 Receives reassigned benefits from 2 practitioners
Practice locations: Hot Springs Village, AR
O20100930002910 AR DME Supplier - Physician - Optometrist 7911065115 Practice locations: Hot Springs Village, AR

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: drmike94@hsveyecare.eyefinity-direct.com
  • Direct secure messaging: drsuesem@hsveyecare.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1407818776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PLAZA CARMONA PL",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719093000",
            "telephone_number": "501-922-5778",
            "fax_number": "501-922-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PLAZA CARMONA PL",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719093000",
            "telephone_number": "501-922-5778",
            "fax_number": "501-922-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SPECIALTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "PELLEY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "501-922-5778",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR 2436",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR 2435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5B824",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146766722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146928722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126962722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.