Individual provider Active NPI

Bryan Gardner Armstrong, O.D.

  • Optometrist
  • Bryant, AR
National Provider Identifier
1730185588
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2504 Issued in AR
Practice address
2900 Horizon Dr Ste 15
Bryant, AR 72022-9095
Phone
(501) 653-2020
Fax
(501) 653-7407
NPI assigned
Jun 27, 2005
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1100340 AR
Optometrist 152W00000X 2504 AR Primary

Addresses

Primary practice location

2900 Horizon Dr Ste 15
Bryant, AR 72022-9095

Mailing address

11225 Huron LN Ste 200a
Little Rock, AR 72211-1861
Phone (501) 653-2020

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
I20080107000868 AR Practitioner - Optometry 3870528235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2900 Horizon Dr
Suite 15
Bryant, AR 72022-9095
Phone (501) 653-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2504ARMDOptometrist
OP1100340ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryant Eyecare Clinic Optometrist CurrentSince Oct 1, 2000 Accepting new patients
Arkansas Family Eyecare of Searcy Optometrist PastSince Jul 1, 2009 Accepting new patients
Eureka Springs Eyecare Clinic Optometrist PastSince Mar 1, 2008 Accepting new patients
Custom Eyes Vision Care of Newport, Inc Optometrist Past Accepting new patients
Bill F. Morgan, O.D. Optometrist Past Accepting new patients
Bryant Eyecare Clinic Optometrist Past Accepting new patients
Arkansas Family Eyecare of Malvern Optometrist Past Accepting new patients
Tasker N. Rodman, II Optometrist Past Accepting new patients

Locations

2900 Horizon Dr
Ste 15
Bryant, AR 72022
Phone (501) 653-2020

11225 Huron Ln
Ste 200A
Little Rock, AR 72211

Organizations & group practices 8

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1730185588",
    "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": "501-653-2020",
            "fax_number": "501-653-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HORIZON DR STE 15",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229095",
            "telephone_number": "501-653-2020",
            "fax_number": "501-653-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "BRYAN",
        "middle_name": "GARDNER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "OP1100340",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.