Jonathan Simmons, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

2390 Issued in AR

Practice address

219 W. Chestnut
Marianna, AR 72360

Phone

(870) 295-3636

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Southern College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jonathan B. Ross OD PAGroup PAC ID 0840356721, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jonathan B. Ross OD PA

  • Optometrist
  • Jonesboro, AR
  • NPI 1225196132
  Medicare reassignment Care Compare group NPD
• Simmons Eye Center

  • Optometrist
  • Brinkley, AR
  • NPI 1316168123
  NPD (past) Authorized official
• West Memphis Eye Center, PA

  • Ophthalmology Physician
  • West Memphis, AR
  • NPI 1205860459
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1467469718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W CHESTNUT ST",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602212",
            "telephone_number": "870-295-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W. CHESTNUT",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "72360",
            "telephone_number": "870-295-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JONATHAN",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119930722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "48355G067",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lytoria L Rincon
• Keosha Lefay Rose, LPN
• Ashtyn Russell, MCD, CCC-SLP
• Sherry Schwantz, RN
• Simmons Eye Center
• Amanda Leigh Smith, MS, RDN, LD
• Lafaye Smith
• Kimberly Danielle Spencer
• Molly Grace Stallings
• State of Arkansas

• Optometrist in Marianna, AR
• Providers in Marianna, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.

Verify at the official NPI Registry.