Decker Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2518 Issued in AR

Legal business name

DECKER EYE CARE, LLC

Practice address

813 W Central Ave
Suite 5
Bentonville, AR 72712-5787

Phone

(479) 855-0009

Fax

(479) 876-7105

NPI assigned

Aug 20, 2007

Last updated

Dec 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bobby B Decker, ODNPI 1245234103

Title

Optometrist/Managing Member

Phone

(479) 254-9434

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bobby Decker, OD

  • Optometrist
  • Bentonville, AR
  • NPI 1245234103
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1891988200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W CENTRAL AVE",
            "address_2": "SUITE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125787",
            "telephone_number": "479-855-0009",
            "fax_number": "479-876-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W CENTRAL AVE",
            "address_2": "SUITE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125787",
            "telephone_number": "479-855-0009",
            "fax_number": "479-876-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECKER EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST/MANAGING MEMBER",
        "authorized_official_telephone_number": "479-254-9434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145384722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayspring Behavioral Health Services of Springdale
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• Rane Dearing
• Lacey Deason
• Jennifer Decelle
• Bobby Decker, OD
• Rebecca Declerk
• Jacqueline Deens
• Deep Roots Health Center Inc
• Elvin Delgado-Ramos

• 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 Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.