Individual provider Active NPI

Catherine Elizabeth Kristynik, OD

  • Optometrist
  • The Woodlands, TX
National Provider Identifier
1467973222
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9217T Issued in TX
Practice address
402 Sawdust Rd
The Woodlands, TX 77380-2243
Phone
(281) 363-2020
NPI assigned
Jul 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 9217T TX Primary

Addresses

Primary practice location

402 Sawdust Rd
The Woodlands, TX 77380-2243

Mailing address

406 Sawdust Rd
The Woodlands, TX 77380-2243
Phone (832) 813-0301

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
I20170823000412 TX Practitioner - Optometry 3274805437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Kristynik Eye Care PLLCGroup PAC ID 7012343015, 2 clinicians

Practice addresses (Care Compare)

791 Fish Creek Thoroughfare
Suite 50
Montgomery, TX 77316-6964
Phone (936) 362-5462

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9217TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristynik Eye Care PLLC Optometrist CurrentSince Feb 13, 2020 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1498953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467973222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SAWDUST RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802243",
            "telephone_number": "832-813-0301",
            "fax_number": "832-408-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SAWDUST RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802243",
            "telephone_number": "281-363-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTYNIK",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9217T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.