Individual provider Active NPI

Jeffrey James Strossner, O.D.

  • Optometrist
  • Conway, AR
National Provider Identifier
1902880214
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2432 Issued in AR
Practice address
924 Main St
Conway, AR 72032-5424
Phone
(501) 327-4444
Fax
(501) 327-3962
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2432 AR Primary

Addresses

Primary practice location

924 Main St
Conway, AR 72032-5424

Mailing address

924 Main St
Conway, AR 72032-5424
Phone (501) 327-4444

Other identifiers 1

IdentifierTypeStateIssuer
125747722MedicaidAR

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
I20100706000542 AR Practitioner - Optometry 8527199678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magie Smith Charton Eye Clinic PAGroup PAC ID 5092030718, 4 clinicians

Practice addresses (Care Compare)

924 Main St
Conway, AR 72032-5424
Phone (501) 327-4444

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as group
Quality
95
Improvement activities
40
Cost
71.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Magie Smith Charton Eye Clinic PA CurrentSince Jan 1, 2015 Accepting new patients

Locations

924 Main St
Conway, AR 72032
Phone (501) 327-4444

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_magiesmithchartoneye

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1902880214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 MAIN ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325424",
            "telephone_number": "501-327-4444",
            "fax_number": "501-327-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MAIN ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325424",
            "telephone_number": "501-327-4444",
            "fax_number": "501-327-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROSSNER",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125747722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.