Active NPI
CJMH, LLC
- Optometrist
- Marked Tree, AR
National Provider Identifier
1669839486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CJMH, LLC
- Practice address
- 116 Nathan St
Marked Tree, AR 72365-1448 - Phone
- (870) 358-2236
- Fax
- (870) 358-4692
- NPI assigned
- Jan 25, 2016
- 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
- Bart C Jones, OD
- Title
- President
- Phone
- (870) 333-1087
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
116 Nathan St
Marked Tree, AR 72365-1448
Mailing address
800 Professional Acres Dr
Jonesboro, AR 72401-4340
Phone (870) 358-2236
Other names 1
- Arkansas Eye Site
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150803000612 | AR | Part B Supplier - Clinic/Group Practice | 5395059430 |
Receives reassigned benefits from 3 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jonesboro, AR; Osceola, AR |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Jonesboro, AR
- NPI 1497169247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453680000000",
"number": "1669839486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PROFESSIONAL ACRES DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014340",
"telephone_number": "870-358-2236",
"fax_number": "870-358-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 NATHAN ST",
"city": "MARKED TREE",
"state": "AR",
"postal_code": "723651448",
"telephone_number": "870-358-2236",
"fax_number": "870-358-4692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CJMH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "BART",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-333-1087",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arkansas Eye Site",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marked Tree, AR
- Arkansas Elder Outreach of Little Rock, Inc.
- Arkansas Home Health Providers-IV, LLC
- Bradley Bibb MD PLLC
- Mary Melissa Cantrell, APN
- Caring Hearts Home Care Provider LLC
- Baylee Craft, APRN, FNP-BC
- Crittenden Hospital Association
- Crittenden Hospital Association
- Titus Leraun Crockett
- Erin Curtner, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.