NORTH LITTLE ROCK PRIMARY EYE CARE
NPI 1255577532
Optometrist in North Little Rock, AR

Active since December 17, 2008
406 W PERSHING BLVD, NORTH LITTLE ROCK, AR 72114(501) 753-3145(501) 753-1806 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Little Rock Primary Eye Care NPPES

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

NORTH LITTLE ROCK PRIMARY EYE CARE (NPI 1255577532) is a healthcare organization registered as an optometrist in North Little Rock, Arkansas and active in the NPI registry since December 2008. The organization lists Derek S Long, Doctor, as its authorized official.

NPPES Registry Identity

NPI1255577532
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDEREK S LONG OD INC
Location Address406 W PERSHING BLVDNorth Little Rock, AR 72114-2146
Mailing Address406 W Pershing BlvdNorth Little Rock, AR 72114-2146 · (501) 753-3145 · Fax (501) 753-1806
Fax(501) 753-1806
Organization SubpartNo
Authorized OfficialDerek S LongDoctor · (501) 803-3937
Enumeration DateDecember 17, 2008
Last NPPES UpdateMay 31, 2011
✔ NPI 1255577532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AR · 2547
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.
406 W PERSHING BLVD, North Little Rock, AR 72114

Other Names 1

Doing Business AsNorth Little Rock Primary Eye Care

Other Identifiers 3

Medicare NSC6362850001AR
Medicaid1487812392AR
Medicare PIN5G233AR

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Little Rock Primary Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20090511000536Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to North Little Rock Primary Eye Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1780067587
115 AUDUBON DR
Maumelle, AR 72113
(501) 803-3937
✔ PECOS✔ Accepts Medicare9.1 mi
Optometry
NPI 1699734368
115 AUDUBON DR SUITE 8
Maumelle, AR 72113
(501) 803-3937
✔ PECOS✔ Accepts Medicare9.1 mi
Optometry
NPI 1770542508
220 N PINE
Magnolia, AR 71753
(870) 234-4444
✔ PECOS✔ Accepts Medicare118 mi

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 Derek S Long Od Inc's NPI number?

The NPI number for Derek S Long Od Inc is 1255577532. It was assigned to this organization in the NPPES registry on December 17, 2008. The provider is doing business as North Little Rock Primary Eye Care.

Where is Derek S Long Od Inc located?

Derek S Long Od Inc is located at 406 W Pershing Blvd, North Little Rock, AR 72114. The listed phone number is (501) 753-3145.

What is Derek S Long Od Inc's specialty?

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

Is Derek S Long Od Inc enrolled in Medicare?

Yes. Derek S Long Od Inc is registered in the Medicare PECOS enrollment system.

When is Derek S Long Od Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by February 28, 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.

How many clinicians bill Medicare through Derek S Long Od Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Derek S Long Od Inc. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Derek S Long Od Inc 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 1 other insurer list Derek S Long Od Inc 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 Derek S Long Od Inc was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.