NPIMap

Organization Active NPI

Kristynik Eye Care PLLC

Doing business as Blinc Eye Care

  • Optometrist
  • Montgomery, TX
National Provider Identifier
1457997058
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KRISTYNIK EYE CARE PLLC
Doing business as
Blinc Eye Care
Practice address
791 Fish Creek Thoroughfare
Suite 50
Montgomery, TX 77316
Phone
(936) 362-5462
NPI assigned
Nov 19, 2019
Last updated
Jan 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Dr. Catherine Elizabeth Kristynik, ODNPI 1467973222
Title
Owner
Phone
(936) 362-5462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

791 Fish Creek Thoroughfare
Suite 50
Montgomery, TX 77316

Mailing address

791 Fish Creek Thoroughfare
Suite 50
Montgomery, TX 77316
Phone (936) 362-5462

Other names 1

  • Blinc Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200211002657 TX Part B Supplier - Clinic/Group Practice 7012343015 Receives reassigned benefits from 3 practitioners
Practice locations: Montgomery, TX

National Provider Directory

National Provider Directory

Locations

791 Fish Creek Thoroughfare
Ste 50
Montgomery, TX 77316
Phone (936) 362-5462

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1457997058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 FISH CREEK THOROUGHFARE",
            "address_2": "SUITE 50",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77316",
            "telephone_number": "936-362-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 FISH CREEK THOROUGHFARE",
            "address_2": "SUITE 50",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "77316",
            "telephone_number": "936-362-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTYNIK EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "KRISTYNIK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-362-5462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blinc Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blinc Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.