Individual provider Active NPI

Robin N Bynum, O.D.

  • Optometrist
  • Whitesboro, TX
National Provider Identifier
1457322919
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6572TG Issued in TX
Practice address
650 Highway 377 N
Whitesboro, TX 76273-7460
Phone
(903) 564-9100
Fax
(903) 564-9800
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6572TG TX Primary

Addresses

Primary practice location

650 Highway 377 N
Whitesboro, TX 76273-7460

Mailing address

650 Highway 377 N
Whitesboro, TX 76273-7460
Phone (903) 564-9100

Other identifiers 2

IdentifierTypeStateIssuer
81577QOtherTXBLUE CROSS BLUE SHIELD
6572TGOtherTXLICENSE

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
I20070209000143 TX Practitioner - Optometry 0446252159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bynum Eye Care P aGroup PAC ID 1557556511, 3 clinicians

Practice addresses (Care Compare)

650 N Hwy 377
Whitesboro, TX 76273-7460
Phone (903) 564-9100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6572TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bynum Eye Care P a Optometrist CurrentSince Jul 23, 2010 Accepting new patients
RGB Eye Associates,PA PastSince Jul 23, 2010 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: direct@bynumeyecarewhitesborotx.compulinkdirect.com

Organizations & group practices 2

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1457322919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HIGHWAY 377 N",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762737460",
            "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 HIGHWAY 377 N",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762737460",
            "telephone_number": "903-564-9100",
            "fax_number": "903-564-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "ROBIN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6572TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81577Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6572TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, TX

Sources for this page

Verify at the official NPI Registry.