Individual provider Active NPI

Aynn L Upton, OD

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1487611190
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3996T Issued in TX
Practice address
5700 S Staples St
Suite C-4
Corpus Christi, TX 78413-3784
Phone
(361) 993-5882
NPI assigned
Apr 27, 2006
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3996T TX Primary

Addresses

Primary practice location

5700 S Staples St
Suite C-4
Corpus Christi, TX 78413-3784

Mailing address

5700 S Staples St
Suite C-4
Corpus Christi, TX 78413-3784
Phone (361) 993-5882

Other identifiers 3

IdentifierTypeStateIssuer
760332622OtherTXTAX ID
00E15QOtherTXBCBS
019231201MedicaidTX

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
I20151109002254 TX Practitioner - Optometry 8729398417 Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3996TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeworks Optometrist PastSince Jul 1, 1997 Accepting new patients
Aynn L Upton Optometrist PastSince Jul 1, 1997 Accepting new patients
Facial & Oculoplastic Surgery Center of Texas, PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1487611190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 S STAPLES ST",
            "address_2": "SUITE C-4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133784",
            "telephone_number": "361-993-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 S STAPLES ST",
            "address_2": "SUITE C-4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133784",
            "telephone_number": "361-993-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "AYNN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3996T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "760332622",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00E15Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019231201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.