Individual provider Active NPI

James William Hardgraves, OD

  • Optometrist
  • Springdale, AR
National Provider Identifier
1679208276
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2855 Issued in AR
Practice address
2004 S Pleasant St
Springdale, AR 72764-6204
Phone
(479) 263-0436
NPI assigned
Jul 19, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AR
Optometrist 152W00000X 2855 AR Primary

Addresses

Primary practice location

2004 S Pleasant St
Springdale, AR 72764-6204

Mailing address

4010 E Canvas Rd
Fayetteville, AR 72701-4791
Phone (479) 263-0436

Other practice location 1

945 N Gaskill St # 1
Huntsville, AR 72740-8966
Phone (479) 738-2040

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025004012 AR Practitioner - Optometry 2668839515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Ark Eye Care Associates PAGroup PAC ID 7618069352, 2 clinicians

Practice addresses (Care Compare)

2004 S Pleasant St
Springdale, AR 72764-6204
Phone (479) 750-1248

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2855ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ark Eye Care Associates PA Optometrist CurrentSince Aug 11, 2023 Accepting new patients

Locations

2004 S Pleasant St
Springdale, AR 72764
Phone (479) 750-1248

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1679208276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 E CANVAS RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727014791",
            "telephone_number": "479-263-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 S PLEASANT ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646204",
            "telephone_number": "479-263-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 N Gaskill St # 1",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AR",
            "postal_code": "727408966",
            "country_code": "US",
            "telephone_number": "479-738-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDGRAVES",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.