Individual provider Active NPI

James C Hughes, O.D.

  • Optometrist
  • Fayetteville, AR
National Provider Identifier
1689853533
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2604 Issued in AR
Practice address
3061 N Market Ave Ste 6
Fayetteville, AR 72703-3561
Phone
(479) 521-6460
Fax
(479) 442-3493
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2565 OK
Optometrist 152W00000X 2749 TN
Optometrist 152W00000X 2604 AR Primary

Addresses

Primary practice location

3061 N Market Ave Ste 6
Fayetteville, AR 72703-3561

Mailing address

3061 N Market Ave Ste 6
Fayetteville, AR 72703-3561
Phone (479) 521-6460

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
I20180927000378 AR Practitioner - Optometry 6507923141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4362 N Waterside CT
Suite 110
Fayetteville, AR 72703-5388
Phone (479) 521-6460

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2749TNMDMarriage & Family Therapist
2604ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentry Eye Care PLLC Optometrist PastSince May 22, 2018 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1689853533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 N MARKET AVE STE 6",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033561",
            "telephone_number": "479-521-6460",
            "fax_number": "479-521-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 N MARKET AVE STE 6",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033561",
            "telephone_number": "479-521-6460",
            "fax_number": "479-442-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2565",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2749",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.