Individual provider Active NPI

Winn Meredith, OD

  • Optometrist
  • Gassville, AR
National Provider Identifier
1841646494
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2737 Issued in AR
Practice address
7345 Highway 62 W
Gassville, AR 72635-8636
Phone
(870) 435-3333
NPI assigned
May 12, 2016
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2737 AR Primary

Addresses

Primary practice location

7345 Highway 62 W
Gassville, AR 72635-8636

Mailing address

7345 Highway 62 W
Gassville, AR 72635-8636
Phone (870) 435-3333

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
I20160714000290 AR Practitioner - Optometry 3870885684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vance Vision Clinic PAGroup PAC ID 3375726219, 3 clinicians

Practice addresses (Care Compare)

7345 Hwy 62 W
Gassville, AR 72635-8636
Phone (870) 435-3333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2737ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph B Sugg, O.D., P.a. Optometrist CurrentSince Jul 5, 2016 Accepting new patients
Heber Springs Eye Care Center PC Optometrist Past Accepting new patients

Locations

111 E Front St
Heber Springs, AR 72543
Phone (501) 362-8191

509 N 2nd St
Heber Springs, AR 72543
Phone (501) 335-2438

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1841646494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 HIGHWAY 62 W",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726358636",
            "telephone_number": "870-435-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 HIGHWAY 62 W",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726358636",
            "telephone_number": "870-435-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "WINN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2022-09-08",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gassville, AR

Sources for this page

Verify at the official NPI Registry.