Jason Bright, PA
Individual provider
Active NPI
Optometrist · Bryant, AR
NPI 1508812686 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1508812686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2553 (AR)
- Practice address
- 100 Bryant Ave
Suite 2
Bryant, AR 72022-3812
- Phone
- (501) 653-2442
- Fax
- (501) 653-2404
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Bryant Ave
Suite 2
Bryant, AR 72022-3802
Phone (501) 653-2442
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20041208000634 |
AR |
Practitioner - Optometry |
2961468251 |
Practice locations: Bryant, AR; El Dorado, AR; Sherwood, AR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|
| 2553 | AR | MD | Registered Dietitian |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Optometrist |
152W00000X |
2553 |
AR |
Yes |
Addresses
Primary practice location
100 Bryant Ave
Suite 2
Bryant, AR 72022-3812
Mailing address
PO Box 578
Bryant, AR 72089-0578
Phone (501) 653-2442
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 159604722 | Medicaid | AR | |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (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.