Maci Lewis Papera, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2811 Issued in AR

Practice address

3005 Fountain Dr
Conway, AR 72034-3684

Phone

(501) 329-9851

Fax

(013) 299-8545

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shane E Ford OD PAGroup PAC ID 3678529575, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shane E. Ford OD PA

  • Optometrist
  • Conway, AR
  • NPI 1033178736

  AR, Optometrist

  Medicare reassignment Care Compare group NPD
• Hertzog Family Eye Care PA

  • Optometrist
  • Cabot, AR
  • NPI 1801029574

  AR, Optometrist

  Medicare reassignment NPD
• Shane E. Ford OD PA

  • Optometrist
  • Greenbrier, AR
  • NPI 1821801424
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1962029587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 FOUNTAIN DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343684",
            "telephone_number": "501-329-9851",
            "fax_number": "501-329-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 FOUNTAIN DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343684",
            "telephone_number": "501-329-9851",
            "fax_number": "013-299-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2526 Highway 65 S Ste 104",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "AR",
            "postal_code": "720316679",
            "country_code": "US",
            "telephone_number": "501-745-2500",
            "fax_number": "501-745-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPERA",
        "first_name": "MACI",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE OPTOMETRY LICENSE",
            "identifier": "2811",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Diana Paladino, APN
• Robert Corey Paladino, NP-C
• Raga Deepak Reddy Palagiri, MD
• Trisha Palmer
• Hannah Pannell
• Faith J Parfait
• Tyrecia Lashon Parham
• Amy A Parish, PSY.D.
• Park Place Pharmacy
• Emma Park

• All providers in Conway, AR
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.