Byron E. Advent, OD
Individual provider Active NPI Optometrist · Corsicana, TX
NPI 1346682572 · NPPES record last updated Jul 30, 2013
Key facts
- NPI
- 1346682572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 8191-T (TX)
- Practice address
- 105 W. 7TH Ave
Suite 800
Corsicana, TX 75110 - Phone
- (903) 874-0005
- Fax
- (903) 874-0009
- NPI assigned
- Jul 30, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8191-T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel M Gold MD PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8191-T | TX | Yes |
Addresses
Primary practice location
105 W. 7TH Ave
Suite 800
Corsicana, TX 75110
Mailing address
501 E. Kolstad St.
Palestine, TX 75801
Phone (903) 731-4653
Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.