BERRYVILLE EYECARE CLINIC
NPI 1427194919
Optometrist in Berryville, AR

Active since January 30, 2007CLIA 04D1098519 · Waiver
404 W COLLEGE AVE, BERRYVILLE, AR 72616(870) 423-2576(870) 423-6750 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Berryville Eyecare Clinic NPPES

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

BERRYVILLE EYECARE CLINIC (NPI 1427194919) is a healthcare organization registered as an optometrist in Berryville, Arkansas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Maranda Dean, Accts Recd, as its authorized official.

NPPES Registry Identity

NPI1427194919
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBERRYVILLE EYECARE CLINIC
Location Address404 W COLLEGE AVEBerryville, AR 72616-3142
Mailing Address11225 Huron Ln Ste 200aLittle Rock, AR 72211-1861 · (870) 423-2576 · Fax (870) 423-6750
Fax(870) 423-6750
Organization SubpartNo
Authorized OfficialMaranda DeanAccts Recd · (870) 350-0777
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
NPI 1427194919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
404 W COLLEGE AVE, Berryville, AR 72616

Other Identifiers 1

Medicaid166252722AR

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D1098519

Berryville Eyecare Clinic · Berryville, AR
Active · expires Apr 20, 2027
CLIA Number04D1098519
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorDr. Tasker N. Rodman
Laboratory Phone(870) 423-2576
Laboratory LocationBerryville Eyecare Clinic404 West College Ave, Berryville, AR 72616
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Berryville Eyecare Clinic carries, from the Medicare DMEPOS supplier directory.

Berryville Eyecare Clinic

DMEPOS supplier · Berryville, AR

Accepts Medicare assignment

Berryville Eyecare Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20564759
Medicare Participant SinceJuly 30, 2007
Supplier Location404 West College AveBerryville, AR 72616
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

Optometrist
404 W COLLEGE AVE
BERRYVILLE, AR 72616

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 Berryville Eyecare Clinic's NPI number?

The NPI number for Berryville Eyecare Clinic is 1427194919. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Berryville Eyecare Clinic located?

Berryville Eyecare Clinic is located at 404 W College Ave, Berryville, AR 72616. The listed phone number is (870) 423-2576.

What is Berryville Eyecare Clinic's specialty?

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

Does Berryville Eyecare Clinic accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Berryville Eyecare Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Berryville Eyecare Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1098519) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Berryville Eyecare Clinic accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Berryville Eyecare Clinic 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 Berryville Eyecare Clinic was last updated on June 25, 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.