Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryan Scott Koontz, OD

Individual provider Optometrist · NPI 1609850916

Bryan Scott Koontz, OD is an Optometry in Conway, Arkansas. Graduated from Southern College of Optometry in 1999, 27 years ago. Practices with Shane E Ford OD PA, a 7-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
27
Trained at
Southern College of Optometry
Licensed in
AR
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

924 Main St
Conway, AR 72032-5424
Phone: (501) 327-4444
Fax: (501) 327-3962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2494 (AR)

Record details

NPI number1609850916
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address924 Main St, Conway, AR 72032-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1999 (27 years in practice)
Group practice Shane E Ford Od Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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