Individual provider Active NPI

George C Cora, OD

  • Optometrist
  • Malvern, AR
National Provider Identifier
1417479452
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2779 Issued in AR
Practice address
1023 S Main St
Malvern, AR 72104-5222
Phone
(501) 332-6262
Fax
(501) 337-0373
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 968 MS
Optometrist 152W00000X R-359-TA-D49 AL
Optometrist 152W00000X 2779 AR Primary

Addresses

Primary practice location

1023 S Main St
Malvern, AR 72104-5222

Mailing address

11225 Huron LN Ste 200a
Little Rock, AR 72211-1861
Phone (501) 332-6262

Other practice location 1

2020 Normandie Dr
Montgomery, AL 36111-2734
Phone (334) 286-2020

Other identifiers 1

IdentifierTypeStateIssuer
232049722MedicaidAR

Other names 1

  • Dr. Chris Cora Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305002219 AL Practitioner - Optometry 7618240425 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holman Optometrics LLCGroup PAC ID 7416086681, 4 clinicians
2020 Vision Associates LLCGroup PAC ID 6002265212, 5 clinicians
Millbrook Eye Care LLCGroup PAC ID 4486806940, 5 clinicians

Practice addresses (Care Compare)

122 W Commerce St
Greenville, AL 36037-2216
Phone (334) 382-3691

2020 Normandie Dr
Montgomery, AL 36111-2716
Phone (334) 286-2020

3331 Hwy 14
Millbrook, AL 36054

3331 Hwy 14
Millbrook, AL 36054-1838
Phone (334) 285-4828

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-359-TA-D49ALMDOptometrist
2779ARMDPhysical Therapy Assistant
968MSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Justus Vision Center P.a. Optometrist CurrentSince Aug 1, 2018 Accepting new patients
2020 Vision Associates LLC Optometrist CurrentSince Feb 25, 2025 Accepting new patients

Locations

2020 Normandie Dr
Montgomery, AL 36111
Phone (334) 281-5011

1023 S Main St
Malvern, AR 72104
Phone (501) 332-6262

Interoperability endpoints

  • FHIR API: https://justusvisioncenter.ef.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: george.cora@uprisedirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1417479452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 HURON LN STE 200A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111861",
            "telephone_number": "501-332-6262",
            "fax_number": "501-337-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045222",
            "telephone_number": "501-332-6262",
            "fax_number": "501-337-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Normandie Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361112734",
            "country_code": "US",
            "telephone_number": "334-286-2020",
            "fax_number": "334-517-4341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORA",
        "first_name": "GEORGE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "968",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-359-TA-D49",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232049722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "CORA",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.