Individual provider Active NPI

Curtis Zachry, OD

  • Optometrist
  • Sheridan, AR
National Provider Identifier
1710654058
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2837 Issued in AR
Practice address
201 W Holly St
Sheridan, AR 72150-2425
Phone
(870) 942-3621
Fax
(870) 942-7825
NPI assigned
Aug 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2837 AR Primary

Addresses

Primary practice location

201 W Holly St
Sheridan, AR 72150-2425

Mailing address

11225 Huron LN Ste 200a
Little Rock, AR 72211-1861
Phone (870) 942-3621

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
I20210908004085 AR Practitioner - Optometry 7416353909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Family Eyecare of MalvernGroup PAC ID 5395096697, 4 clinicians

Practice addresses (Care Compare)

1023 S Main St
Malvern, AR 72104-5222
Phone (501) 332-6262

201 W Holly St
Sheridan Eyecare Clinic
Sheridan, AR 72150-2425
Phone (870) 942-3621

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Family Eyecare of Malvern Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Rodman & Armstrong Partnership Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Justus Vision Center P.a. Optometrist CurrentSince Feb 1, 2025 Accepting new patients

Locations

11225 Huron Ln
Ste 200A
Little Rock, AR 72211

1023 S Main St
Malvern, AR 72104
Phone (501) 332-6262

201 W Holly St
Sheridan, AR 72150
Phone (870) 942-3621

Interoperability endpoints

  • FHIR API: https://justusvisioncenter.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1710654058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 HURON LN STE 200A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111861",
            "telephone_number": "870-942-3621",
            "fax_number": "870-942-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W HOLLY ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502425",
            "telephone_number": "870-942-3621",
            "fax_number": "870-942-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHRY",
        "first_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, AR

Sources for this page

Verify at the official NPI Registry.