Active NPI
Crestview Optical
- Optician
- Jacksonville, AR
National Provider Identifier
1669565255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- OP1100385
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930035249 | AR | DME Supplier - Physician - Ophthalmology | 6002927951 | Practice locations: Jacksonville, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Crestview Optical | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Jacksonville, AR
- NPI 1649471921
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.