Active NPI
Bailey Zachry, OD
- Optometrist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2841
- Practice address
- 424 N University Ave Ste 5
Little Rock, AR 72205-3266 - Phone
- (501) 663-1131
- Fax
- (501) 663-1413
- NPI assigned
- Feb 25, 2022
- Last updated
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2841 | AR | Primary |
Addresses
Primary practice location
424 N University Ave Ste 5
Little Rock, AR 72205-3266
Mailing address
11225 Huron LN Ste 200a
Little Rock, AR 72211-1861
Phone (501) 663-1131
Other names 1
- Bailey Burnett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1023 S Main St
Malvern, AR 72104-5222
Phone (501) 332-6262
424 N University Ave
Suite 5
Little Rock, AR 72205-3266
Phone (501) 663-1131
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2841 | AR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justus Vision Center P.a. | Optometrist | Current | Accepting new patients |
| Arkansas Family Eyecare of Malvern | Optometrist | Current | Accepting new patients |
| Little Rock Family Eyecare | Optometrist | Current | Accepting new patients |
Locations
11225 Huron Ln
Ste 200A
Little Rock, AR 72211
424 N University Ave
Ste 5
Little Rock, AR 72205
Phone (501) 663-1131
1023 S Main St
Malvern, AR 72104
Phone (501) 332-6262
Interoperability endpoints
- https://justusvisioncenter.ef.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Little Rock, AR
- NPI 1912239906
-
- Optometrist
- Malvern, AR
- NPI 1447435698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1437805793",
"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": "501-663-1131",
"fax_number": "501-663-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 N UNIVERSITY AVE STE 5",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053266",
"telephone_number": "501-663-1131",
"fax_number": "501-663-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHRY",
"first_name": "BAILEY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-25",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAILEY",
"last_name": "BURNETT",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.