Individual provider Active NPI

Bailey Zachry, OD

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1437805793
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2841 Issued in AR
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315000828 AR Practitioner - Optometry 9739574575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Family Eyecare of MalvernGroup PAC ID 5395096697, 4 clinicians
Little Rock Family EyecareGroup PAC ID 6002942760, 2 clinicians

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

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2841ARMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Justus Vision Center P.a. Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Arkansas Family Eyecare of Malvern Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Little Rock Family Eyecare Optometrist CurrentSince Mar 7, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.