IVORY A. KINSLOW, MDPA
NPI 1124684923
Optometrist in Magnolia, AR

Q: What is Ivory A. Kinslow, Mdpa's NPI number?

The NPI number for Ivory A. Kinslow, Mdpa is 1124684923. It was assigned to this organization in the NPPES registry on May 16, 2019. The provider is also known as Ivory A. Kinslow, MDPA MAG.

Q: What is Ivory A. Kinslow, Mdpa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 16, 2019

220 N PINE, MAGNOLIA, AR 71753(870) 234-4444 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ivory A. Kinslow, Mdpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVORY A. KINSLOW, MDPA (NPI 1124684923) is a healthcare organization registered as an optometrist in Magnolia, Arkansas and active in the NPI registry since May 2019. The organization lists Sharon L Winn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124684923

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameIVORY A. KINSLOW, MDPA

Location Address220 N PINEMagnolia, AR 71753-2905

Mailing AddressPo Box 11090El Dorado, AR 71730-0031 · (870) 862-2340 · Fax (870) 863-4951

Phone(870) 234-4444

Organization SubpartYes

Authorized OfficialSharon L WinnCeo · (573) 718-4808

Enumeration DateMay 16, 2019

✔ NPI 1124684923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOphthalmologyTaxonomy 207W00000X

220 N PINE, Magnolia, AR 71753

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Other Names 1

Other NameIvory A. Kinslow, Mdpa Mag

Other Identifiers 1

Other2124AR · Optometrist License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivory A. Kinslow, Mdpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateArkansasEnrollment IDO20180625001073DME · Physician - OptometristDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD LEE MCDONNELL O.D.

Optometrist

220 N PINE
MAGNOLIA, AR 71753

Columbia County (870) 234-4444

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 Ivory A. Kinslow, Mdpa's NPI number?

The NPI number for Ivory A. Kinslow, Mdpa is 1124684923. It was assigned to this organization in the NPPES registry on May 16, 2019. The provider is also known as Ivory A. Kinslow, MDPA MAG.

Where is Ivory A. Kinslow, Mdpa located?

Ivory A. Kinslow, Mdpa is located at 220 N Pine, Magnolia, AR 71753. The listed phone number is (870) 234-4444.

What is Ivory A. Kinslow, Mdpa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ivory A. Kinslow, Mdpa enrolled in Medicare?

Yes. Ivory A. Kinslow, Mdpa is registered in the Medicare PECOS enrollment system.

When is Ivory A. Kinslow, Mdpa's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Arkansas, Physician - Optometrist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Ivory A. Kinslow, Mdpa was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.