Organization Active NPI

Robert L. Byars, Jr.

  • Optometrist
  • Mayfield, KY
National Provider Identifier
1336312594
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0676D Issued in KY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
77006765MedicaidKY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.