Individual provider Active NPI

Chevron L. Ergle, O.D.

  • Optometrist
  • Jacksonville, AR
National Provider Identifier
1891760773
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2548 Issued in AR
Practice address
521 Marshall Rd
Jacksonville, AR 72076-3749
Phone
(501) 985-0616
Fax
(501) 985-0715
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2548 AR Primary

Addresses

Primary practice location

521 Marshall Rd
Jacksonville, AR 72076-3749

Mailing address

521 Marshall Rd
Jacksonville, AR 72076-3749
Phone (501) 985-0616

Other identifiers 1

IdentifierTypeStateIssuer
154879722MedicaidAR

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
I20040930000187 AR Practitioner - Optometry 7113996703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons, PLLCGroup PAC ID 7113978313, 3 clinicians

Practice addresses (Care Compare)

521 Marshall Rd
Jacksonville, AR 72076-3749
Phone (501) 985-0616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1891760773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MARSHALL RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763749",
            "telephone_number": "501-985-0616",
            "fax_number": "501-985-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MARSHALL RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763749",
            "telephone_number": "501-985-0616",
            "fax_number": "501-985-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERGLE",
        "first_name": "CHEVRON",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154879722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

Verify at the official NPI Registry.