Jeffery Braxton Myers, O.D.,PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2519 Issued in AR

Practice address

830 E Robinson Ave
Suite a
Springdale, AR 72764-7113

Phone

(479) 756-6500

Fax

(479) 756-8577

NPI assigned

Jun 16, 2006

Last updated

Jan 19, 2010By the provider in NPPES

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1740224898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E ROBINSON AVE",
            "address_2": "SUITE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647113",
            "telephone_number": "479-756-6500",
            "fax_number": "479-756-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E ROBINSON AVE",
            "address_2": "SUITE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647113",
            "telephone_number": "479-756-6500",
            "fax_number": "479-756-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JEFFERY",
        "middle_name": "BRAXTON",
        "name_prefix": "Dr.",
        "credential": "O.D.,PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPIN",
            "identifier": "1740224898",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154205722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dusti Murphy, RN
• Janice White Murphy, M.D.
• Leah Murphy, SLP
• Hannah Claire Musson, COTA
• Kristina Marie Mutter
• Lori Anne Myers, PHARM D
• Madison Anne Myers
• Michael Myers
• Tristan Myers
• Garret Myhan, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.