Russell Thomas Simmons, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2329 Issued in AR

Practice address

113 W Carpenter St
Benton, AR 72015-3317

Phone

(501) 778-2363

Fax

(501) 778-5329

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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 College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SS Eye Group, PLLCGroup PAC ID 4486927035, 4 clinicians

Simmons Eye Care Clinic, P.a.Group PAC ID 8628011384, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• SS Eye Group, PLLC

  dba Teague Eye & Vision Clinic

  • Optometrist
  • Little Rock, AR
  • NPI 1992232102
  Medicare reassignment Care Compare group NPD Authorized official
• Simmons Eye Care Clinic, P.a.

  • Optometrist
  • Benton, AR
  • NPI 1598753279
  Medicare reassignment Care Compare group Authorized official
• C & R Eye Group PA

  dba Chapmans Eye Care

  • Optometrist
  • Hot Springs, AR
  • NPI 1356616940
  NPD (past) Authorized official
• Randall L Teague OD PA

  dba Teague Vision Clinic

  • Optometrist
  • Little Rock, AR
  • NPI 1558677476
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1720016272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153317",
            "telephone_number": "501-778-2363",
            "fax_number": "501-778-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153317",
            "telephone_number": "501-778-2363",
            "fax_number": "501-778-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "RUSSELL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139616722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410041726",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Creighton Alan Simmons, O.D.
• Henry Simmons, M.D.
• Jake Simmons, CMP
• James Aaron Simmons, MD
• Julia Simmons, RECOVERY ASSISTANT
• Mackenzie Simon, PT
• Tiffany Marie Simpson, OTR/L
• Abby G Sims, MS, CCC-SLP
• Kormyn Shay Sims
• Morgan Sims

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.