NPIMap

Organization Active NPI

Dr Alan L Byrd & Associates OD PA

  • Optometrist
  • Lillington, NC
National Provider Identifier
1205925914
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR ALAN L BYRD & ASSOCIATES OD PA
Practice address
104 S Main St
Lillington, NC 27546-8968
Phone
(910) 814-2020
Fax
(910) 814-0248
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Alan L Byrd, ODNPI 1336124833
Title
President
Phone
(919) 639-2020

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 Primary

Addresses

Primary practice location

104 S Main St
Lillington, NC 27546-8968

Mailing address

8313 S NC 55 Hwy
Willow Spring, NC 27592-9543
Phone (919) 639-2020

Other identifiers 2

IdentifierTypeStateIssuer
017EUOtherNCBLUE CROSS BLUE SHIELD
5901193MedicaidNC

Other names 1

  • Myeyes Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516000961 NC Part B Supplier - Clinic/Group Practice 8325089725 Receives reassigned benefits from 8 practitioners
Practice locations: Lillington, NC

National Provider Directory

National Provider Directory

Locations

104 S Main St
Lillington, NC 27546
Phone (910) 814-2020

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1205925914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 S NC 55 HWY",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275929543",
            "telephone_number": "919-639-2020",
            "fax_number": "919-639-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MAIN ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468968",
            "telephone_number": "910-814-2020",
            "fax_number": "910-814-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALAN L BYRD & ASSOCIATES OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-639-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "017EU",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901193",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myeyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.