Individual provider Active NPI

Allison Nicole Hall, O.D.

  • Optometrist
  • Clarksville, AR
National Provider Identifier
1629061502
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2537 Issued in AR
Practice address
1 Colonial SQ
Clarksville, AR 72830-3633
Phone
(479) 702-2022
Fax
(479) 705-2023
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2537 AR Primary

Addresses

Primary practice location

1 Colonial SQ
Clarksville, AR 72830-3633

Mailing address

1 Colonial SQ
Clarksville, AR 72830-3633
Phone (479) 702-2022

Other identifiers 2

IdentifierTypeStateIssuer
150351722MedicaidAR
152665722MedicaidAR

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
I20040624000738 AR Practitioner - Optometry 7810973641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Colonial SQ
Clarksville, AR 72830-3633
Phone (479) 705-2022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2537ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Eye Care Center L.L.C. Optometrist CurrentSince Apr 6, 2004 Accepting new patients
Dr. James O. Davis III O.D.P.a. Optometrist PastSince Jul 26, 1998 Accepting new patients

Locations

1230 E Market St
Clarksville, AR 72830
Phone (479) 705-0249

1 Colonial Sq
Clarksville, AR 72830
Phone (479) 702-2022

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1629061502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLONIAL SQ",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303633",
            "telephone_number": "479-702-2022",
            "fax_number": "479-705-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLONIAL SQ",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303633",
            "telephone_number": "479-702-2022",
            "fax_number": "479-705-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ALLISON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150351722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152665722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

Verify at the official NPI Registry.