NPIMap

Organization Active NPI

McDonald Eye Services, PA

  • Eyewear Supplier
  • Fayetteville, AR
National Provider Identifier
1609990357
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MCDONALD EYE SERVICES, PA
Practice address
3318 N Northhills Blvd
Fayetteville, AR 72703-4008
Phone
(479) 521-2555
Fax
(479) 521-6761
NPI assigned
Mar 19, 2007
Organization subpart
Yes
Parent organization
MCDONALD EYE SERVICES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Ms. Vonda Louise Syler, COE
Title
Administrator
Phone
(479) 521-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3318 N Northhills Blvd
Fayetteville, AR 72703-4008

Mailing address

3318 N Northhills Blvd
Fayetteville, AR 72703-4008
Phone (479) 521-2555

Other names 1

  • McDonald Eye Optical Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930010611 AR DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 7719995117 Practice locations: Fayetteville, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
McDonald Eye Services2 organizations share this tax ID, including this one
Part of
McDonald Eye Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3689 N Steele Blvd
Fayetteville, AR 72703
Phone (479) 249-6006

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1609990357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034008",
            "telephone_number": "479-521-2555",
            "fax_number": "479-521-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034008",
            "telephone_number": "479-521-2555",
            "fax_number": "479-521-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD EYE SERVICES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCDONALD EYE SERVICES, PA",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SYLER",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-521-2555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COE"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonald Eye Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.