Active NPI
Nick D Banks, OD
- Optometrist
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2007
- Practice address
- 2901 E Zion Rd
Ste 4
Fayetteville, AR 72703-5007 - Phone
- (479) 443-2025
- Fax
- (479) 443-2032
- NPI assigned
- Dec 5, 2005
- Last updated
- Dec 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 2007 | AR | Primary |
Addresses
Primary practice location
2901 E Zion Rd
Ste 4
Fayetteville, AR 72703-5007
Mailing address
2901 E Zion Rd
Ste 4
Fayetteville, AR 72703-5007
Phone (479) 443-2025
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263122083 | Other | AR | TAX ID |
| 106310722 | Medicaid | AR | |
| 410038411 | Other | RAILROAD MEDICARE | |
| 710814666 | Other | TID | |
| 47968 | Other | AR | ARKANSAS BCBS |
| BA700418 | Other | HIGHMARK BCBS |
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, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 W Pleasant Crossing Dr
Suite 60
Rogers, AR 72758-8323
Phone (479) 202-4725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007 | AR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffries Eye Clinic PA | Optometrist | Current | Accepting new patients |
| Banks Family Eye Clinic PLLC | Optometrist | Current | Accepting new patients |
| Martha Ellen Myers, O.D. PA | Optometrist | Current | Accepting new patients |
| Dang Eyecare & Associates, P.a. | Optometrist | Current | Accepting new patients |
Locations
2875 W Martin Luther King Jr Blvd
Fayetteville, AR 72704
Phone (479) 521-4350
2901 E Zion Rd
Ste 4
Fayetteville, AR 72703
Phone (479) 443-2025
4189 Phoenix Ave
Ste B
Fort Smith, AR 72903
Phone (479) 434-4668
2600 W Pleasant Crossing Dr
Ste 60
Rogers, AR 72758
Phone (479) 202-4725
3602 W Southern Hills Blvd
Rogers, AR 72758
Phone (479) 631-8900
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Optometrist
- Fort Smith, AR
- NPI 1801038195
-
dba Jeffries Eye Associates
- Ophthalmology Physician
- Rogers, AR
- NPI 1427142934
Optometrist
-
- Optometrist
- Fayetteville, AR
- NPI 1649289265
-
- Optometrist
- Bentonville, AR
- NPI 1184061988
-
- Clinic/Center
- Fayetteville, AR
- NPI 1922515808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228694400000",
"number": "1861476707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 E ZION RD",
"address_2": "STE 4",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035007",
"telephone_number": "479-443-2025",
"fax_number": "479-443-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 E ZION RD",
"address_2": "STE 4",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035007",
"telephone_number": "479-443-2025",
"fax_number": "479-443-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "NICK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2008-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "263122083",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106310722",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410038411",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TID",
"identifier": "710814666",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BCBS",
"identifier": "47968",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "BA700418",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.