SPRINGDALE VISION CLINIC
NPI 1447307327
Optometrist in Springdale, AR

Active since January 04, 2007
3291 S THOMPSON ST STE C101, SPRINGDALE, AR 72764(479) 751-3937(479) 751-7518 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Springdale Vision Clinic NPPES

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

SPRINGDALE VISION CLINIC (NPI 1447307327) is a healthcare organization registered as an optometrist in Springdale, Arkansas and active in the NPI registry since January 2007. The organization lists Wesley M Andersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1447307327
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWESLEY M ANDERSEN OD PA
Location Address3291 S THOMPSON ST STE C101Springdale, AR 72764-7343
Mailing Address3291 S Thompson C 101Springdale, AR 72764 · (479) 751-3937 · Fax (479) 751-7518
Fax(479) 751-7518
Organization SubpartNo
Authorized OfficialWesley M AndersenOwner · (479) 751-3937
Enumeration DateJanuary 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447307327 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 · 2561
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.
3291 S THOMPSON ST STE C101, Springdale, AR 72764

Other Names 1

Doing Business AsSpringdale Vision Clinic

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

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)

Springdale Vision Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20070312000609Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Springdale Vision Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1255382438
3291 S THOMPSON ST STE C101
Springdale, AR 72764
(479) 751-3937
✔ PECOS✔ Accepts MedicareSame address

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 Wesley M Andersen Od PA's NPI number?

The NPI number for Wesley M Andersen Od PA is 1447307327. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is doing business as Springdale Vision Clinic.

Where is Wesley M Andersen Od PA located?

Wesley M Andersen Od PA is located at 3291 S Thompson St Ste C101, Springdale, AR 72764. The listed phone number is (479) 751-3937.

What is Wesley M Andersen Od PA's specialty?

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

Is Wesley M Andersen Od PA enrolled in Medicare?

Yes. Wesley M Andersen Od PA is registered in the Medicare PECOS enrollment system.

When is Wesley M Andersen Od PA'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 December 31, 2026. 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 Wesley M Andersen Od PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Wesley M Andersen Od PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wesley M Andersen Od PA 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.