Active NPI
William Wooten, OD
- Optometrist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2777
- Practice address
- 201 Executive CT # a
Little Rock, AR 72205-4536 - Phone
- (501) 224-5658
- NPI assigned
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2777 | AR | Primary |
Addresses
Primary practice location
201 Executive CT # a
Little Rock, AR 72205-4536
Mailing address
2250 Wilmington Dr
Conway, AR 72034-2029
Phone (501) 908-1273
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Executive CT
Suite a
Little Rock, AR 72205-4536
Phone (501) 224-5658
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 92.15
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2777 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Rock Eye Clinic, LLP | Optometrist | Current | Accepting new patients |
Locations
9600 Baptist Health Dr
Ste 230
Little Rock, AR 72205
Phone (501) 224-5658
4200 N Rodney Parham Rd
Ste 101
Little Rock, AR 72212
Phone (501) 224-5658
4200 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 224-5658
201 Executive Ct
Ste A
Little Rock, AR 72205
Phone (501) 224-5658
4104 Richards Rd
North Little Rock, AR 72117
Phone (501) 224-5658
Interoperability endpoints
- williamwootenod@littlerockeyeclinic.medentdirect.com
Organizations & group practices 1
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": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1841786571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 WILMINGTON DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720342029",
"telephone_number": "501-908-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 EXECUTIVE CT # A",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722054536",
"telephone_number": "501-224-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.