Individual provider Active NPI

R Dean Gurley, O.D.

  • Optometrist
  • Blytheville, AR
National Provider Identifier
1912988577
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2285 Issued in AR
Practice address
527 N 6TH St
Suite a
Blytheville, AR 72315-2407
Phone
(870) 762-2297
Fax
(870) 763-2552
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2285 AR Primary

Addresses

Primary practice location

527 N 6TH St
Suite a
Blytheville, AR 72315-2407

Mailing address

527 N 6TH St
Suite a
Blytheville, AR 72315-2407
Phone (870) 762-2297

Other identifiers 1

IdentifierTypeStateIssuer
163428722MedicaidAR

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
I20090625000682 AR Practitioner - Optometry 5890846166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R Dean Gurley OD PAGroup PAC ID 0345391611, 7 clinicians

Practice addresses (Care Compare)

527 N 6TH St
Blytheville, AR 72315-2407
Phone (870) 762-2297

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2285ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
R Dean Gurley OD PA Optometrist CurrentSince Dec 26, 2000 Accepting new patients

Locations

527 N 6th St
Ste A
Blytheville, AR 72315
Phone (870) 762-2297

527 N 6th St
Blytheville, AR 72315
Phone (870) 762-2297

401 W Hale Ave
Osceola, AR 72370
Phone (870) 563-3800

Interoperability endpoints

  • Direct secure messaging: drj@areyecare.eyefinitydirect.com

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1912988577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N 6TH ST",
            "address_2": "SUITE A",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152407",
            "telephone_number": "870-762-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N 6TH ST",
            "address_2": "SUITE A",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152407",
            "telephone_number": "870-762-2297",
            "fax_number": "870-763-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "R",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163428722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

Verify at the official NPI Registry.