Retina Center of Arkansas PLLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA CENTER OF ARKANSAS PLLC

Practice address

1794 E Joyce Blvd Ste 3
Fayetteville, AR 72703-5257

Phone

(479) 234-4499

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

John Dellacroce, MDNPI 1780619718

Title

Physician

Phone

(479) 419-9393

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Thomas Dellacroce, MD

  • Retina Specialist (Ophthalmology) Physician
  • Fayetteville, AR
  • NPI 1780619718
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Cox

  • Physician Assistant
  • Fayetteville, AR
  • NPI 1144901125
  Medicare reassignment Care Compare group
• Tommye Jones

  • Physician Assistant
  • Fayetteville, AR
  • NPI 1275168643
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1821681107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 E JOYCE BLVD STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035257",
            "telephone_number": "479-234-4499",
            "fax_number": "479-269-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 E JOYCE BLVD STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035257",
            "telephone_number": "479-234-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CENTER OF ARKANSAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "DELLACROCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "479-419-9393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtdmd@retina-arkansas.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1794 E Joyce Blvd Ste 3",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727035257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Ann Rekhi
• Brian D. Rekus, M.D.
• Stephanie Erin Renard, MHPP
• Gary Renegar, DDS
• Res-Care Arkansas, Inc.
• Andrea Jazmin Reyes-Cuarenta, LAC
• Elizabeth Suzanne Reynebeau, NNP-BC
• Lori D. Reynerson, A.P.N.
• Karen Christine Reynolds, FNP-BC
• Katlin Reynolds

• Retina Specialist (Ophthalmology) Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Retina Specialist (Ophthalmology) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.