NPIMap

Organization Active NPI

McDonald Eye Services, PA

Doing business as McDonald Eye Associates

  • Ophthalmology Physician
  • Fayetteville, AR
National Provider Identifier
1407850217
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MCDONALD EYE SERVICES, PA
Doing business as
McDonald Eye Associates
Practice address
3689 N Steele Blvd
Fayetteville, AR 72703-5347
Phone
(479) 521-2555
Fax
(479) 521-6761
NPI assigned
Jun 9, 2005
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MCDONALD EYE SERVICES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Ms. Teresa Pittman
Title
Administrator
Phone
(479) 521-2555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AR
Ophthalmology Physician 207W00000X AR Primary

Addresses

Primary practice location

3689 N Steele Blvd
Fayetteville, AR 72703-5347

Mailing address

3689 N Steele Blvd
Fayetteville, AR 72703-5347
Phone (479) 521-2555

Other practice location 1

318 S 52nd St
Rogers, AR 72758-8615
Phone (479) 464-9702

Other identifiers 2

IdentifierTypeStateIssuer
127513002MedicaidAR
127505722MedicaidAR

Other names 1

  • McDonald Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060327000627 AR Part B Supplier - Clinic/Group Practice 7719995117 Receives reassigned benefits from 8 practitioners
Practice locations: Fayetteville, AR; Siloam Springs, AR; Rogers, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
McDonald Eye Services PA3689 N Steele Blvd, Fayetteville, AR 72703-5347(479) 521-2555 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jun 26, 1995

National Provider Directory

National Provider Directory
Tax ID family
McDonald Eye Services PA2 organizations share this tax ID, including this one
Part of
McDonald Eye Services PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1407850217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 N STEELE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035347",
            "telephone_number": "479-521-2555",
            "fax_number": "479-521-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 N STEELE BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035347",
            "telephone_number": "479-521-2555",
            "fax_number": "479-521-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 S 52nd St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588615",
            "country_code": "US",
            "telephone_number": "479-464-9702",
            "fax_number": "479-464-9706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCDONALD EYE SERVICES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCDONALD EYE SERVICES, PA",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-521-2555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127513002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127505722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonald Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McDonald Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.