Jeffrey David Coats

Primary specialty

Occupational Vision OptometristTaxonomy code 152WX0102X

License

2730 Issued in AR

Practice address

2300 SE J St
Bentonville, AR 72712-3776

Phone

(479) 268-3268

Fax

(479) 268-4019

NPI assigned

Jun 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bentonville Eye Care PLLCGroup PAC ID 3476899030, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bentonville Eye Care PLLC

  • Optometrist
  • Bentonville, AR
  • NPI 1083984116
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1770995201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SE J ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123776",
            "telephone_number": "479-268-3268",
            "fax_number": "479-268-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SE J ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123776",
            "telephone_number": "479-268-3268",
            "fax_number": "479-268-4019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 W Pauline Whitaker Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727587345",
            "country_code": "US",
            "telephone_number": "479-469-2023",
            "fax_number": "479-469-2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATS",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2730",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "AR",
            "license": "2730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Med Solutions LLC
• Clear Med Solutions LLC
• Clear Vision Counseling LLC
• Mildred Murphy Clifton, M.D.
• Cmtherapy LLC
• Korie Cochran
• Sarah Anne Cochran, M.A, CCC-SLP
• Stephanie D Cochran, MHPP
• Chloe K Coffman
• Julia M Coffman, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.