Individual provider Active NPI

Joe L Bunch, O.D. (OPTOMETRIST)

  • Optometrist
  • Plano, TX
National Provider Identifier
1376574681
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4178 Issued in TX
Practice address
3200 14TH St
#400
Plano, TX 75074-4423
Phone
(972) 422-2020
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4178 TX Primary

Addresses

Primary practice location

3200 14TH St
#400
Plano, TX 75074-4423

Mailing address

3200 14TH St
#400
Plano, TX 75074-4423
Phone (972) 422-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060804000153 TX Practitioner - Optometry 1052314341 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2020 Optometry of Grand Prairie PLLCGroup PAC ID 1557893260, 2 clinicians

Practice addresses (Care Compare)

3200 14TH St
Suite 400
Plano, TX 75074-4423
Phone (972) 422-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4178TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Optometry of Grand Prairie PLLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Joe L. Bunch, O.D. Optometrist PastSince Jan 1, 1990 Accepting new patients
2020 Vision Specialists of North Texas Optometrist PastSince Jul 28, 2024 Accepting new patients

Locations

3200 14th St
Ste 400
Plano, TX 75074
Phone (972) 422-2020

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1376574681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 14TH ST",
            "address_2": "#400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750744423",
            "telephone_number": "972-422-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 14TH ST",
            "address_2": "#400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750744423",
            "telephone_number": "972-422-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "JOE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D. (OPTOMETRIST)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.