NPIMap

Organization Active NPI

Catherine Spoo Castleberry O.D., P.a.

  • Optometrist
  • Denton, TX
National Provider Identifier
1205014974
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3870TG Issued in TX
Legal business name
CATHERINE SPOO CASTLEBERRY O.D., P.A.
Practice address
2524 Lillian Miller Parkway
Suite 100
Denton, TX 76210
Phone
(940) 891-0484
Fax
(940) 383-4700
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Catherine Spoo Castleberry, O.D, P.A.NPI 1538253489
Title
Doctor
Phone
(940) 891-0484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3870TG TX Primary

Addresses

Primary practice location

2524 Lillian Miller Parkway
Suite 100
Denton, TX 76210

Mailing address

2524 Lillian Miller Parkway
Suite 100
Denton, TX 76210
Phone (940) 891-0484

Other names 1

  • Catherine Spoo Castleberry Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627001398 TX Part B Supplier - Clinic/Group Practice 5294770590 Receives reassigned benefits from 5 practitioners
Practice locations: Denton, TX

National Provider Directory

National Provider Directory

Locations

2524 Lillian Miller Pkwy
Ste 100
Denton, TX 76210
Phone (940) 891-0484

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1205014974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 LILLIAN MILLER PARKWAY",
            "address_2": "SUITE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "940-891-0484",
            "fax_number": "940-383-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 LILLIAN MILLER PARKWAY",
            "address_2": "SUITE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "940-891-0484",
            "fax_number": "940-383-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE SPOO CASTLEBERRY O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERRY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "SPOO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "940-891-0484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D, P.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3870TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catherine Spoo Castleberry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.