DEBLACK EYE CARE CENTER, P.A.
NPI 1053486803
Optometrist in Conway, AR
About Deblack Eye Care Center, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBLACK EYE CARE CENTER, P.A. (NPI 1053486803) is a healthcare organization registered as an optometrist in Conway, Arkansas and active in the NPI registry since November 2006. The organization lists Susan Sanders Deblack, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deblack Eye Care Center, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Deblack Eye Care Center, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deblack Eye Care Center, P.A.'s NPI number?
The NPI number for Deblack Eye Care Center, P.A. is 1053486803. It was assigned to this organization in the NPPES registry on November 21, 2006.
Where is Deblack Eye Care Center, P.A. located?
Deblack Eye Care Center, P.A. is located at 4150 Tyler Street, Suite 1, Conway, AR 72034. The listed phone number is (501) 329-7878.
What is Deblack Eye Care Center, P.A.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Deblack Eye Care Center, P.A. enrolled in Medicare?
Yes. Deblack Eye Care Center, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deblack Eye Care Center, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Deblack Eye Care Center, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Deblack Eye Care Center, P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Deblack Eye Care Center, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Deblack Eye Care Center, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Deblack Eye Care Center, P.a. · NPI 1053486803
Optometrist organization in Conway, Arkansas. Organization record, active in the CMS NPPES registry since November 21, 2006.
## Identity
- **NPI:** 1053486803 (Entity type: Organization)
- **Enumerated:** November 21, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Susan Deblack, OPTOMETRIST
## Practice location
- **Address:** 4150 TYLER STREET,, SUITE 1, Conway, AR 72034
- **Phone:** (501) 329-7878 · **Fax:** (501) 329-7881
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053486803) · Data from the CMS NPPES public registry.