Eddie Scott Epperson, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2327 Issued in AR

Practice address

608 E North St
Magnolia, AR 71753-3121

Phone

(870) 234-6241

Fax

(870) 234-3771

NPI assigned

Aug 3, 2006

Last updated

Mar 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Southern California College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1689682957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E NORTH ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533121",
            "telephone_number": "870-234-6241",
            "fax_number": "870-234-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E NORTH ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533121",
            "telephone_number": "870-234-6241",
            "fax_number": "870-234-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "EDDIE",
        "middle_name": "SCOTT",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5994T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0057FA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "410011307",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eh Home Health of East Texas, LLC (Enhabit Hospice)
• Bryan M Ellis, PHARMD
• Tina Ellis
• Emmalee Beene-Gregory DDS
• Martin L Engeran, MS
• Erica Danielle Erwin
• Faith and Family Medical Providers PLLC
• Jerome Mark Falkoff, DDS PA
• Ahna Farrar
• Terry Wayne Feyen, PD

• Optometrist in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.

Verify at the official NPI Registry.