Individual provider Active NPI

Thomas M Stank, M.D.

  • Ophthalmology Physician
  • Jonesboro, AR
National Provider Identifier
1598779209
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N8184 Issued in AR
Practice address
601 E Matthews Ave
Jonesboro, AR 72401-3145
Phone
(870) 935-6396
Fax
(870) 935-1469
NPI assigned
Jul 28, 2006
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X N8184 AR Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X N8184 AR

Addresses

Primary practice location

601 E Matthews Ave
Jonesboro, AR 72401-3145

Mailing address

601 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 935-6396

Other identifiers 4

IdentifierTypeStateIssuer
203329909OtherMOMISSOURI MEDICAID
550247933OtherARMEDICARE ID-TYPE UNSPECIFIED
120592001MedicaidAR
180014251OtherARRAILROAD MEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019000115 AR Practitioner - OphthalmologyPractitioner - Optometry 4880596931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pennsylvania State University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Eye Associates LTDGroup PAC ID 4688576739, 8 clinicians

Practice addresses (Care Compare)

601 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 935-6396

Merit-based Incentive Payment System (MIPS)

Final score
83.87 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
46.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N8184ARMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Associates LTD Ophthalmology CurrentSince Mar 13, 1992 Accepting new patients
Southern Eye Associates LTD CurrentSince Mar 13, 1992 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

601 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-6396

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1598779209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-935-6396",
            "fax_number": "870-935-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-935-6396",
            "fax_number": "870-935-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANK",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "N8184",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "AR",
            "license": "N8184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI MEDICAID",
            "identifier": "203329909",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "550247933",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120592001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180014251",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.