Active NPI
Kaitlin Spikes, O.D.
- Optometrist
- Fayetteville, AR
National Provider Identifier
1992232235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2784
- Practice address
- 741 E Van Asche Dr
Fayetteville, AR 72703 - Phone
- (479) 442-5227
- Fax
- (479) 582-4952
- NPI assigned
- May 17, 2017
- Sex
- Female
- 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 | 2784 | AR | Primary |
Addresses
Primary practice location
741 E Van Asche Dr
Fayetteville, AR 72703
Mailing address
1100 N College Ave
Fayetteville, AR 72703-1944
Phone (479) 443-4301
Other names 1
- Kaitlin Short
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kspikes@hec.intellechartdirect.net | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180802002994 | AR | Practitioner - Optometry | 4284991183 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Eye Clinic
Practice addresses (Care Compare)
741 E Van Asche Dr
Fayetteville, AR 72703-4916
Phone 47944252271208
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.06 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2784 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Surgery Center, LLC | Current | Accepting new patients | |
| Henry Eye Clinic | Multi-Specialty | Current | Accepting new patients |
Locations
741 E Van Asche Dr
Fayetteville, AR 72703
Phone 47942252271208
Interoperability endpoints
- kspikes@hec.intellechartdirect.net
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Springdale, AR
- NPI 1396634820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1992232235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N COLLEGE AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727031944",
"telephone_number": "479-443-4301",
"fax_number": "479-587-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 E VAN ASCHE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-442-5227",
"fax_number": "479-582-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIKES",
"first_name": "KAITLIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AR",
"license": "2784",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kspikes@hec.intellechartdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "741 E Van Asche Dr",
"city": "Fayetteville",
"state": "AR",
"country_code": "US",
"postal_code": "72703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "SHORT",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.