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RETINA CENTER OF ARKANSAS PLLC
NPI 1821681107
Ophthalmology - Retina Specialist in Fayetteville, AR

Active since February 17, 2021CLIA 04D2241694 · Waiver
1794 E JOYCE BLVD STE 3, FAYETTEVILLE, AR 72703(479) 234-4499 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2022, Nov 11, 2021, Feb 17, 2021 (3 updates tracked since 2021).

About Retina Center Of Arkansas Pllc NPPES

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

RETINA CENTER OF ARKANSAS PLLC (NPI 1821681107) is a healthcare organization registered as a retina specialist in Fayetteville, Arkansas and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists John Dellacroce, Physician, as its authorized official.

NPPES Registry Identity

NPI1821681107
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA CENTER OF ARKANSAS PLLC
Location Address1794 E JOYCE BLVD STE 3Fayetteville, AR 72703-5257
Mailing Address1794 E Joyce Blvd Ste 3Fayetteville, AR 72703-5257 · (479) 234-4499 · Fax (479) 269-1325
Phone(479) 234-4499
Organization SubpartNo
Authorized OfficialJohn DellacrocePhysician · (479) 419-9393
Enumeration DateFebruary 17, 2021
Last NPPES UpdateSeptember 6, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1821681107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
1794 E JOYCE BLVD STE 3, Fayetteville, AR 72703
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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 04D2241694

Retina Center Of Arkansas, PLLC · Fayetteville, AR
Active · expires Oct 31, 2027
CLIA Number04D2241694
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDr. John T. Dellacroce
Laboratory Phone(479) 234-4499
Laboratory LocationRetina Center Of Arkansas, PLLC1794 E Joyce Blvd, Ste 3, Fayetteville, AR 72703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

EMILY COX
Physician Assistant
1794 E JOYCE BLVD STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 234-4499
TOMMYE JONES
Physician Assistant
1794 E JOYCE BLVD STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 234-4499
JORDAN BALL DO
Ophthalmology (Retina Specialist)
1794 E JOYCE BLVD STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 234-4499
DR. JOHN THOMAS DELLACROCE MD
Ophthalmology (Retina Specialist)
1794 E JOYCE BLVD STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 234-4499
JTD MD PLLC
Ophthalmology (Retina Specialist)
1794 E JOYCE BLVD STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 234-4499

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 Retina Center Of Arkansas PLLC's NPI number?

The NPI number for Retina Center Of Arkansas PLLC is 1821681107. It was assigned to this organization in the NPPES registry on February 17, 2021.

Where is Retina Center Of Arkansas PLLC located?

Retina Center Of Arkansas PLLC is located at 1794 E Joyce Blvd Ste 3, Fayetteville, AR 72703. The listed phone number is (479) 234-4499.

What is Retina Center Of Arkansas PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Does Retina Center Of Arkansas PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2241694) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Retina Center Of Arkansas PLLC 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 Retina Center Of Arkansas PLLC 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 Retina Center Of Arkansas PLLC was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.