Active NPI
Ricky Dale Meador, OD
- Optometrist
- North Little Rock, AR
National Provider Identifier
1972542579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2348
- Practice address
- 2524 Crestwood Rd
North Little Rock, AR 72116-7623 - Phone
- (501) 753-2030
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2348 | AR | Primary |
Addresses
Primary practice location
2524 Crestwood Rd
North Little Rock, AR 72116-7623
Mailing address
2524 Crestwood Rd
North Little Rock, AR 72116-7623
Phone (501) 753-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102210722 | Medicaid | AR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2524 Crestwood Rd
North Little Rock, AR 72116-7648
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2316 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meador Eye Clinic, Inc | Optometrist | Current | Accepting new patients |
Locations
2524 Crestwood Rd
Ste 1
North Little Rock, AR 72116
Phone (501) 753-2030
2524 Crestwood Rd
North Little Rock, AR 72116
Phone (501) 758-3050
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.
-
- Optometrist
- North Little Rock, AR
- NPI 1154748911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1972542579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2524 CRESTWOOD RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167623",
"telephone_number": "501-753-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2524 CRESTWOOD RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167623",
"telephone_number": "501-753-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOR",
"first_name": "RICKY",
"middle_name": "DALE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102210722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.