Skip to content

Bentonville Eye Care PLLC

NPI 1083984116ActiveOrganization· Optometrist· Bentonville, AR

Optometrist in Bentonville, Arkansas, registered in NPPES in January 2012. The authorized official on file is Derrick Pierce, OD, Owner / Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1083984116
StatusActive
Entity typeOrganization
NPI issuedJan 5, 2012
Last updated in NPPESApr 2, 2026
Certified by providerApr 2, 2026
ReactivatedDec 15, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AR)

Medicare sources and data years

Other Optometrist providers in Bentonville

All Optometrist providers in Arkansas →