William Ray Patterson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2367 Issued in AR

Practice address

2505 Donaghey Ave.
Suite 102
Conway, AR 72032

Phone

(501) 450-9900

Fax

(501) 932-0201

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nicholas Sachse OD PLLCGroup PAC ID 7113391202, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nicholas Sachse OD PLLC

  • Optometrist
  • Conway, AR
  • NPI 1164757662
  Medicare reassignment Care Compare group NPD
• Baker Eye Institute

  • Clinic/Center
  • Conway, AZ
  • NPI 1982888996
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1669463352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 DONAGHEY AVE.",
            "address_2": "SUITE 102",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-940-9900",
            "fax_number": "501-932-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 DONAGHEY AVE.",
            "address_2": "SUITE 102",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-450-9900",
            "fax_number": "501-932-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "WILLIAM",
        "middle_name": "RAY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114822722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varsha Patel
• Patricia a. Knott, MD, PA
• Kendall Lee Patrick Henson, RBT
• McKensy T Patrick, RBT
• Renee Antheia Patrick
• Paul & Ashley Fry, LLC
• Ashlie Ellen Paul
• Kelsey Payne
• Lakyn Michelle Payne, PA
• Gustavo Paz Duarte

• Optometrist in Conway, AR
• Providers in Conway, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.

Verify at the official NPI Registry.