Individual provider Active NPI

Catherine Christine Byrd, O.D.

  • Optometrist
  • Durham, NC
National Provider Identifier
1487632956
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1617 Issued in NC
Practice address
8202 Renaissance Pkwy Ste 104
Durham, NC 27713-6694
Phone
(919) 572-1200
Fax
(919) 572-1202
NPI assigned
Jan 5, 2006
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1617 NC Primary

Addresses

Primary practice location

8202 Renaissance Pkwy Ste 104
Durham, NC 27713-6694

Mailing address

8202 Renaissance Pkwy Ste 104
Durham, NC 27713-6694
Phone (919) 572-1200

Other identifiers 1

IdentifierTypeStateIssuer
890915JMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20081120000223 NC Practitioner - Optometry 2567522519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8202 Renaissance Pkwy
Suite 104
Durham, NC 27713-6694
Phone (919) 572-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1617NCMDAddiction (Substance Use Disorder) Counselor
NC1617NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southpoint Vision, Christy Byrd, OD, PLLC Optometrist CurrentSince Nov 19, 2017 Accepting new patients
Dove Medical Supply Retail LLC PastSince Nov 15, 2020 Accepting new patients

Locations

8202 Renaissance Pkwy
Ste 104
Durham, NC 27713
Phone (919) 572-1200

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, 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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1487632956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 RENAISSANCE PKWY STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136694",
            "telephone_number": "919-572-1200",
            "fax_number": "919-572-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 RENAISSANCE PKWY STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136694",
            "telephone_number": "919-572-1200",
            "fax_number": "919-572-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "CATHERINE",
        "middle_name": "CHRISTINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890915J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.