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ARKANSAS VISION DEVELOPMENT CENTER PA
NPI 1942326244
Optometrist - Vision Therapy in Fort Smith, AR

Active since March 21, 2007
1021 S WALDRON RD, FORT SMITH, AR 72903(479) 478-8860(479) 478-8890 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Arkansas Vision Development Center Pa NPPES

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

ARKANSAS VISION DEVELOPMENT CENTER PA (NPI 1942326244) is a healthcare organization registered as a vision therapy in Fort Smith, Arkansas and active in the NPI registry since March 2007. The organization lists Wanda Vaughn, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1942326244
Entity TypeOrganization
Primary Taxonomy152WV0400X
Legal Business NameARKANSAS VISION DEVELOPMENT CENTER PA
Location Address1021 S WALDRON RDFort Smith, AR 72903-2549
Mailing Address1021 S Waldron RdFort Smith, AR 72903-2549 · (479) 478-8860 · Fax (479) 478-8890
Phone(479) 478-8860
Fax(479) 478-8890
Organization SubpartNo
Authorized OfficialWanda VaughnOptometrist · (479) 478-8860
Enumeration DateMarch 21, 2007
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1942326244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in AR · 2554
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
1021 S WALDRON RD, Fort Smith, AR 72903
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Other Identifiers 7

Other1447387170AR · Npi Individual
Other1942326244AR · Npi Group
Other5F232AR · Group Ptan
Medicaid158686722AR
Medicaid200055390AOK
Medicaid200057240AOK
Other49907AR · Medicare Ptan

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arkansas Vision Development Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Arkansas Vision Development Center PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Bryley Banks, OD
Optometry
NPI 1124864111
1021 S WALDRON RD
Fort Smith, AR 72903
(417) 629-0505
✔ PECOS✔ Accepts MedicareSame address
Katherine Ramey, OD
Optometry
NPI 1194203067
1021 S WALDRON RD
Fort Smith, AR 72903
(479) 478-8860
✔ PECOS✔ Accepts MedicareSame address
Wanda Vaughn, O.D.
Optometry
NPI 1447387170
1021 S WALDRON RD
Fort Smith, AR 72903
(479) 478-8860
✔ PECOS✔ Accepts MedicareSame address
Jared Denton, OD
Optometry
NPI 1205757598
1021 S WALDRON RD
Fort Smith, AR 72903
(479) 478-8860
✔ PECOSSame 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 Arkansas Vision Development Center PA's NPI number?

The NPI number for Arkansas Vision Development Center PA is 1942326244. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Arkansas Vision Development Center PA located?

Arkansas Vision Development Center PA is located at 1021 S Waldron Rd, Fort Smith, AR 72903. The listed phone number is (479) 478-8860.

What is Arkansas Vision Development Center PA's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Arkansas Vision Development Center PA enrolled in Medicare?

Yes. Arkansas Vision Development Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arkansas Vision Development Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Arkansas Vision Development Center 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Arkansas Vision Development Center PA was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.