Individual provider Active NPI

Brent A James, O.D.

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1790754471
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2501 Issued in AR
Practice address
28 Saint Andrews Dr
Little Rock, AR 72212-2909
Phone
(501) 773-0312
Fax
(501) 325-0355
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2501 AR Primary

Addresses

Primary practice location

28 Saint Andrews Dr
Little Rock, AR 72212-2909

Mailing address

PO Box 24063
Little Rock, AR 72221-4063
Phone (501) 773-0312

Other identifiers 1

IdentifierTypeStateIssuer
200119722MedicaidAR

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
I20040225000153 AR Practitioner - Optometry 9739075912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.56 of 100Reported as group
Quality
63.13
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2501ARMDGeneral Practice Dentistry
2250OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobilecare Vision PLLC Optometrist Current Accepting new patients
James Eyecare Center, Inc Optometrist CurrentSince Mar 12, 2003 Accepting new patients
Britton Vision Associates Inc PastSince Jan 1, 2024 Accepting new patients
Central Oklahoma Eye Associates, P.C. PastSince Apr 1, 1999 Accepting new patients

Locations

11900 Kanis Rd
Ste D1
Little Rock, AR 72211
Phone (501) 687-0826

6411 Valley Ranch Dr
Little Rock, AR 72223
Phone (501) 687-0826

17711 Chenal Pkwy
Ste I117
Little Rock, AR 72223
Phone (501) 687-0826

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1790754471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24063",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722214063",
            "telephone_number": "501-773-0312",
            "fax_number": "501-325-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SAINT ANDREWS DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122909",
            "telephone_number": "501-773-0312",
            "fax_number": "501-325-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "BRENT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200119722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.