Organization Active NPI

Bynum Eye Care P a

  • Optometrist
  • Whitesboro, TX
National Provider Identifier
1235459660
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BYNUM EYE CARE P A
Practice address
650 N. Hwy 377
Whitesboro, TX 76273
Phone
(903) 564-9100
Fax
(903) 564-9800
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Robin Bynum, ODNPI 1457322919
Title
Owner
Phone
(281) 642-3516

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

650 N. Hwy 377
Whitesboro, TX 76273

Mailing address

650 N. Hwy 377
Whitesboro, TX 76273
Phone (903) 564-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101116000724 TX Part B Supplier - Clinic/Group Practice 1557556511 Receives reassigned benefits from 3 practitioners
Practice locations: Whitesboro, TX

National Provider Directory

National Provider Directory

Locations

650 Highway 377 N
Whitesboro, TX 76273
Phone (903) 564-9100

Practitioners & affiliated clinicians

Practitioners 4

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": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1235459660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N. HWY 377",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "76273",
            "telephone_number": "903-564-9100",
            "fax_number": "903-564-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N. HWY 377",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "76273",
            "telephone_number": "903-564-9100",
            "fax_number": "903-564-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYNUM EYE CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-642-3516",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.