Individual provider Active NPI

Jonathan Paul Goodwin, O.D.

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1477858769
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2668 Issued in AR
Practice address
9800 Baptist Health Dr Ste 301
Little Rock, AR 72205-6230
Phone
(501) 225-4488
Fax
(870) 536-9020
NPI assigned
Jan 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD0000002929 TN
Optometrist 152W00000X 2668 AR Primary

Addresses

Primary practice location

9800 Baptist Health Dr Ste 301
Little Rock, AR 72205-6230

Mailing address

22 Berney Way Dr
Little Rock, AR 72223-9112
Phone (870) 612-9202

Other practice location 1

3805 W 28th Ave
Pine Bluff, AR 71603-4774
Phone (870) 536-4100

Other practice location 2

10700 N Rodney Parham Rd Ste C1-A
Little Rock, AR 72212-4191
Phone (501) 830-2020

Other practice location 3

2200 Fort Roots Dr
(112Ey/NLR)
North Little Rock, AR 72114-1709
Phone (501) 257-2277

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
I20240131000335 AR Practitioner - Optometry 8426401001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mike S. McFarland MdpaGroup PAC ID 5092708495, 14 clinicians

Practice addresses (Care Compare)

9800 Baptist Health Dr
Suite 301
Little Rock, AR 72205-6230
Phone (501) 225-4488

Hospital & facility affiliations

  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2668ARMDGeneral Practice Dentistry
OD0000002929TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mike S McFarland Mdpa CurrentSince Mar 4, 2024 Accepting new patients
Mike S. McFarland Mdpa Current Accepting new patients
Mike S McFarland Mdpa Optometrist CurrentSince Mar 4, 2024 Accepting new patients
McFarland Optical Inc Past Accepting new patients

Locations

3604 Central Ave
Ste A
Hot Springs National Park, AR 71913
Phone (501) 318-1111

10700 N Rodney Parham Rd
Ste C1A
Little Rock, AR 72212
Phone (501) 293-3626

9800 Baptist Health Dr
Ste 301
Little Rock, AR 72205
Phone (501) 225-4488

3805 W 28th Ave
Pine Bluff, AR 71603
Phone (870) 536-4100

Interoperability endpoints

  • Direct secure messaging: jgoodwin@mfecclinic.intellechartdirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1477858769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BERNEY WAY DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239112",
            "telephone_number": "870-612-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BAPTIST HEALTH DR STE 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056230",
            "telephone_number": "501-225-4488",
            "fax_number": "870-536-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805 W 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716034774",
            "country_code": "US",
            "telephone_number": "870-536-4100",
            "fax_number": "870-536-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 N Rodney Parham Rd Ste C1-A",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722124191",
            "country_code": "US",
            "telephone_number": "501-830-2020",
            "fax_number": "870-536-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Fort Roots Dr",
            "address_2": "(112EY/NLR)",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721141709",
            "country_code": "US",
            "telephone_number": "501-257-2277",
            "fax_number": "501-257-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2024-03-29",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002929",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.