Jeff Netzel O.D. PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2529 Issued in AR

Legal business name

JEFF NETZEL O.D. PA

Doing business as

Netzel Eye Clinic

Practice address

1720 S Walton Blvd Ste 2
Bentonville, AR 72712-7533

Phone

(479) 271-2225

Fax

(479) 271-6225

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeff A Netzel, O.D.

Title

Owner/Optomertrist

Phone

(479) 271-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Netzel Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Jeffrey A Netzel, O.D.

  • Optometrist
  • Bentonville, AR
  • NPI 1235145046
  Medicare reassignment NPD

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1881852556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S WALTON BLVD STE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127533",
            "telephone_number": "479-271-2225",
            "fax_number": "479-271-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S WALTON BLVD STE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127533",
            "telephone_number": "479-271-2225",
            "fax_number": "479-271-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF NETZEL O.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "NETZEL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPTOMERTRIST",
        "authorized_official_telephone_number": "479-271-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149489722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Netzel Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Jamieson, LCSW
• Heather Ann Jandebeur, LAC
• Melissa Ann Jandebeur
• Janna L Hines Therapy Services LLC
• Kibreona Jarrett
• Helena Jeffcoat, PT, DPT
• Cambria Jeffers
• Jennifer Burleson LCSW, PLLC
• Brinlee Jessee
• Shannon Arleese Jewell, MD

• Optometrist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.