Active NPI
Charles Wilson Pope, O.D.
- Optometrist
- Camden, AR
National Provider Identifier
1609953827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2563
- Practice address
- 130 Eagle Ave
Camden, AR 71701-3711 - Phone
- (870) 836-6886
- Fax
- (870) 836-2345
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2563 | AR | Primary |
Addresses
Primary practice location
130 Eagle Ave
Camden, AR 71701-3711
Mailing address
130 Eagle Ave
Camden, AR 71701-3711
Phone (870) 836-6886
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 S Main St
Malvern, AR 72104-5224
Phone (501) 332-2012
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 68 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2563 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles G Pope Odpa | Optometrist | Current | Accepting new patients |
Locations
130 Eagle Ave
Camden, AR 71701
Phone (870) 836-6886
1120 S Main St
Malvern, AR 72104
Phone (501) 332-2012
Organizations & group practices 1
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.
-
- Optometrist
- Camden, AR
- NPI 1255493771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609953827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 EAGLE AVE",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717013711",
"telephone_number": "870-836-6886",
"fax_number": "870-836-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 EAGLE AVE",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717013711",
"telephone_number": "870-836-6886",
"fax_number": "870-836-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "CHARLES",
"middle_name": "WILSON",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, AR
- Jeana Pierce
- Pine Hills Health and Rehabilitation, LLC
- Pine Hills Healthcare LLC
- Pinnacle Hearing LLC
- Charles G Pope, OD
- Leah Pope, RDH
- Barbara Ann Porchia, DPM
- Jennifer Porter, PTA
- Premise Health of Arkansas Medical P a (The Wellness Center Operated by Premise Health)
- Prime Medical Group PLLC (Dermatology Group of Arkansas PA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.