Individual provider Active NPI

Kory Allen, OD

  • Optometrist
  • Rogers, AR
National Provider Identifier
1992385009
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2843 Issued in AR
Practice address
3710 W Southern Hills Blvd
Rogers, AR 72758-8041
Phone
(196) 004-7963
NPI assigned
Apr 12, 2021
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3107 OK
Optometrist 152W00000X 2843 AR Primary

Addresses

Primary practice location

3710 W Southern Hills Blvd
Rogers, AR 72758-8041

Mailing address

610 SW Meadow PT
Bentonville, AR 72712-8981
Phone (817) 781-2482

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
I20220803003161 AR Practitioner - Optometry 3375931413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boozman-Hof Regional Eye Clinic PAGroup PAC ID 4981628245, 12 clinicians

Practice addresses (Care Compare)

25 Cunningham Cor
Bella Vista, AR 72714-3520
Phone (479) 268-4047

Merit-based Incentive Payment System (MIPS)

Final score
92.75 of 100Reported as group
Quality
99.17
Improvement activities
40
Cost
76.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3107OKMDChiropractor
2843ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parenti-Morris Eyecare PLLC Optometrist CurrentSince Jun 15, 2022 Accepting new patients
Boozman-Hof Regional Eye Clinic PA Optometrist CurrentSince Jun 17, 2024 Accepting new patients

Locations

25 Cunningham Cor
Bella Vista, AR 72714
Phone (479) 246-1700

600 SW 41 St
Ste 6
Bentonville, AR 72713
Phone (479) 636-1960

3710 W Southern Hills Blvd
Rogers, AR 72758
Phone (479) 636-1960

3710 W Southern Hills Blvd
Ste 200
Rogers, AR 72758
Phone (479) 636-1960

3737 W Walnut St
Rogers, AR 72756
Phone (479) 246-1700

Interoperability endpoints

  • Direct secure messaging: kallen@bhrec.intellechartdirect.net
  • Direct secure messaging: kory.allen@uprisedirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992385009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SW MEADOW PT",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128981",
            "telephone_number": "817-781-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 W SOUTHERN HILLS BLVD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588041",
            "telephone_number": "196-004-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KORY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3107",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.