Collin Simmons, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2845 Issued in AR

Practice address

11115 Hermitage Rd
Little Rock, AR 72211-3807

Phone

(501) 224-7056

Fax

(501) 224-4327

NPI assigned

Jul 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SS Eye Group, PLLCGroup PAC ID 4486927035, 4 clinicians

Simmons Eye Care Clinic, P.a.Group PAC ID 8628011384, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Simmons Eye Care Clinic, P.a.

  • Optometrist
  • Benton, AR
  • NPI 1598753279
  Medicare reassignment Care Compare group NPD
• SS Eye Group, PLLC

  • Optometrist
  • Little Rock, AR
  • NPI 1992232102
  Medicare reassignment Care Compare group NPD
• Randall L Teague OD PA

  • Optometrist
  • Little Rock, AR
  • NPI 1558677476
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1881327963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 NONCONNAH BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11115 HERMITAGE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113807",
            "telephone_number": "501-224-7056",
            "fax_number": "501-224-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1689 Nonconnah Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381322105",
            "country_code": "US",
            "telephone_number": "901-271-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "COLLIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1689 Nonconnah Blvd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381322105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Simmons Geriatric Medicine and Long Term Care, PA
• Angela Christine Simmons, APN
• Breleigh Simmons
• Brooke Michelle Simmons, MHPP
• Christian Dupre Simmons, M.D./PH.D.
• Crystal H. Vann Simmons
• Cynthia Ann Simmons, MD
• Danyai Simmons
• David Simmons
• Doug Simmons Jr.

• Optometrist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.

Verify at the official NPI Registry.