Active NPI
Brittany B. Boyette, O.D.
- Optometrist
- Sherwood, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2586
- Practice address
- 305 E Kiehl Ave
Sherwood, AR 72120-2921 - Phone
- (501) 835-3937
- Fax
- (501) 835-2040
- NPI assigned
- Jul 6, 2007
- Last updated
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2586 | AR | Primary |
Addresses
Primary practice location
305 E Kiehl Ave
Sherwood, AR 72120-2921
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166521722 | Medicaid | AR | |
| 49997 | Other | AR | AR BLUECROSS BLUE SHIELD |
| 49997B171 | Other | AR | AR BLUECROSS BLUE SHIELD |
| 49997F895 | Other | AR | AR BLUECROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 E Kiehl Ave
Sherwood, AR 72120-2921
Phone (501) 835-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2586 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Ronald a Burks OD PA | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Robert Lyon Berry M.D. | Optometrist | Past | Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
| George Schroeder, M.D., P.a. | Past | Accepting new patients |
Locations
1300 N Center St
Ste A
Lonoke, AR 72086
Phone (501) 676-5100
305 E Kiehl Ave
Sherwood, AR 72120
Phone (501) 753-1237
114 E 49th St
Texarkana, AR 71854
Phone (870) 774-2020
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1669670063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E KIEHL AVE",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721202921",
"telephone_number": "501-835-3937",
"fax_number": "501-835-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYETTE",
"first_name": "BRITTANY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166521722",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BLUECROSS BLUE SHIELD",
"identifier": "49997",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BLUECROSS BLUE SHIELD",
"identifier": "49997B171",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BLUECROSS BLUE SHIELD",
"identifier": "49997F895",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.