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Deactivated NPI 1073205910 Deactivated / Inactive NPI Female Practitioner

Stephanie Mongold , LDO

Technician/Technologist - Optician • Springdale, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephanie Mongold has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2023
NPI Deactivation Date March 14, 2026
Total Practice Duration ~3 Years of Practice (2023 – 2026)

Professional Overview & Biography Verified Profile Summary

Stephanie Mongold, LDO was a registered Technician/Technologist - Optician practicing in Springdale, AR. Throughout an active medical career spanning 3 years, Stephanie Mongold provided care at the practice location at 4870 ELM SPRINGS RD until profile deactivation on 2026-03-14.

Practice Location & Contact Primary Location

Practice Address

4870 Elm Springs Rd

Springdale, AR 727623749

Telephone 4793067029
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1154734085

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Springdale, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Springdale, AR (18 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License AR L-140942

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1023501046

Doctor of Pharmacy (Pharm.D.)

NPI 1134610678

Doctor of Optometry

NPI 1154922631

Doctor of Pharmacy (Pharm.D.)

NPI 1316582620

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

NPI 1568063477

Doctor of Pharmacy (Pharm.D.)

Phyllisa Best

Pharmacist

NPI 1679247639

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 14, 2026

Record deactivated on March 14, 2026

NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 22, 2023

Registered at 4870 ELM SPRINGS RD, SPRINGDALE, AR 727623749 (Tel: 4793067029)

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Updated Business Mailing Address May 22, 2023

Registered at 4266 LINKS DR APT 104, SPRINGDALE, AR 727625663 (Tel: 4796011944)

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Provider Name / Credentials Updated May 22, 2023

Recorded as STEPHANIE MONGOLD, LDO

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Technician/Technologist (License #L-140942 in AR)

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Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
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NPI Administrative Meta

NPI Number: 1073205910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: May 22, 2023
Deactivation Date: March 14, 2026

Mailing Address

4266 Links Dr Apt 104

Springdale, AR 727625663

Phone: 4796011944

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.