Michael Law, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2643 Issued in AR

Practice address

404 W College Ave
Berryville, AR 72616-3142

Phone

(870) 423-2576

Fax

(870) 423-6750

NPI assigned

Apr 5, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

International American University at Puerto Rico - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Berryville Eyecare Clinic

  • Optometrist
  • Berryville, AR
  • NPI 1427194919
  Medicare reassignment NPD
• Eureka Springs Eyecare Clinic

  • Optometrist
  • Eureka Springs, AR
  • NPI 1528214863
  Medicare reassignment NPD

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1750606570",
    "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": "501-225-9944",
            "fax_number": "501-225-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W COLLEGE AVE",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163142",
            "telephone_number": "870-423-2576",
            "fax_number": "870-423-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181927722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Arehart Knapp, MHPP
• McKenzie Koch, PHARMD
• Bissett Krawczyk, COTA/L
• Candice Lacey, PTA
• Jennifer Lampe
• Jocelyn E. Lescano, RPT
• Guy Wilson Lessenberry, PD
• LTC of Berryville, LLC
• Crystal D Lyle, LPC
• Jason Spener Mabry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.