ROGER D ROBERTS (O.D.) – Optometrist, NPI 1003885138
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
422 OPTOMETRY in AR
Provider Addresses for ROGER D ROBERTS (O.D.)
745 E JOYCE BLVD STE 124
FAYETTEVILLE, AR 727036391
Phone: (479) 582-9119
Type: Mailing
6601-6605, North Avondale Avenue, Edison Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States
SUITE 102
CHICAGO, IL 606311572
Phone: (773) 792-1011
Fax: (773) 889-0224
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230110001527 | I | Optometry | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | 84 | 84 | $0 |
| 92014 | Established patient complete exam of visual system | 62 | 62 | $0 |
| 92250 | Photography of the retina | 35 | 35 | $0 |
| 92012 | Established patient problem focused exam of visual system | 17 | 17 | $0 |
Insurance plans in this area (ZIP 72703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR | |
| - | OK | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR |
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