Individual provider Active NPI

Amy Michelle Tolbert, O.D.

  • Optometrist
  • Pocahontas, AR
National Provider Identifier
1487884813
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2630 Issued in AR
Practice address
110 W Broadway St
Pocahontas, AR 72455-3405
Phone
(870) 202-1100
Fax
(833) 293-2984
NPI assigned
Jul 20, 2009
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2630 AR Primary

Addresses

Primary practice location

110 W Broadway St
Pocahontas, AR 72455-3405

Mailing address

112 N Bettis St
Pocahontas, AR 72455-3301
Phone (870) 202-1100

Other identifiers 2

IdentifierTypeStateIssuer
2630OtherARARKANSAS STATE LISENCURE
179679722MedicaidAR

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
I20090908000629 AR Practitioner - Optometry 7911052378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 N Bettis St
Pocahontas, AR 72455-3301
Phone (870) 202-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2630ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visualeyes Optometry PLLC Optometrist CurrentSince Nov 17, 2019 Accepting new patients
William C. Wyatt, O.D., P.a. Optometrist Past Accepting new patients

Locations

110 W Broadway St
Pocahontas, AR 72455
Phone (870) 202-1100

112 N Bettis St
Pocahontas, AR 72455
Phone (870) 609-0034

Organizations & group practices 2

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1487884813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N BETTIS ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553301",
            "telephone_number": "870-202-1100",
            "fax_number": "833-293-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W BROADWAY ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553405",
            "telephone_number": "870-202-1100",
            "fax_number": "833-293-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE LISENCURE",
            "identifier": "2630",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179679722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.