Carylene Gentry, O.D.
Individual provider Active NPI Optometrist · Marshall, AR
NPI 1770701690 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1770701690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2401 (AR)
- Practice address
- 303 E. Main St.
Marshall, AR 72650 - Phone
- (870) 448-2233
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
303 E Main St
Marshall, AR 72650-7764
Phone (870) 448-2233
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081113000151 | AR | Practitioner - Optometry | 5597824086 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Family Eyecare PLLC | Optometrist | Current |
Accepting new patients |
Locations
303 E Main St
Marshall, AR 72650
Phone (870) 448-2233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2401 | AR | Yes |
Addresses
Primary practice location
303 E. Main St.
Marshall, AR 72650
Mailing address
PO Box 1109
Marshall, AR 72650-1109
Other providers in Marshall, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.