Active NPI
Robert L. Byars, Jr.
- Optometrist
- Mayfield, KY
National Provider Identifier
1336312594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0676D
- Legal business name
- ROBERT L. BYARS, JR.
- Practice address
- 107 W Broadway St
Mayfield, KY 42066-2213 - Phone
- (270) 247-5532
- Fax
- (270) 247-0245
- NPI assigned
- Apr 9, 2008
- Last updated
- Apr 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert L. Byars Jr., O.D.
- Title
- Optometrist
- Phone
- (270) 247-5532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0676D | KY | Primary |
Addresses
Primary practice location
107 W Broadway St
Mayfield, KY 42066-2213
Mailing address
107 W Broadway St
Mayfield, KY 42066-2213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77006765 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1336312594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W BROADWAY ST",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420662213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W BROADWAY ST",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420662213",
"telephone_number": "270-247-5532",
"fax_number": "270-247-0245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L. BYARS, JR.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "BYARS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "270-247-5532",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "0676D",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77006765",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.