Organization Active NPI

Crestview Optical

  • Optician
  • Jacksonville, AR
National Provider Identifier
1669565255
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
OP1100385 Issued in AR
Legal business name
CRESTVIEW OPTICAL
Practice address
521 Marshall Rd
Jacksonville, AR 72076-3749
Phone
(501) 985-0616
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Pam Ables
Title
Practice Manager
Phone
(501) 985-0616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X OP1100385 AR Primary

Addresses

Primary practice location

521 Marshall Rd
Jacksonville, AR 72076-3749

Mailing address

521 Marshall Rd
Jacksonville, AR 72076-3749
Phone (501) 985-0616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930035249 AR DME Supplier - Physician - OphthalmologyDME Supplier - Optician 6002927951 Practice locations: Jacksonville, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Crestview Optical521 Marshall Rd, Jacksonville, AR 72076-3749(501) 985-0080 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Sep 25, 2000

National Provider Directory

National Provider Directory

Locations

521 Marshall Rd
Jacksonville, AR 72076
Phone (501) 985-0616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1669565255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MARSHALL RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763749",
            "telephone_number": "501-985-0616",
            "fax_number": "501-985-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MARSHALL RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763749",
            "telephone_number": "501-985-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "ABLES",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "501-985-0616"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AR",
            "license": "OP1100385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.