Individual provider Active NPI

Cynthia Bullard Slaton, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1487772067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4709T Issued in TX
Practice address
1313 N Fry Rd Ste a
Katy, TX 77449-3343
Phone
(281) 579-6939
Fax
(281) 579-2714
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4709T TX Primary

Addresses

Primary practice location

1313 N Fry Rd Ste a
Katy, TX 77449-3343

Mailing address

123 Sibelius LN
Houston, TX 77079-7203
Phone (713) 973-6233

Other identifiers 4

IdentifierTypeStateIssuer
52719OtherTXDAVIS
03855OtherTXSPECTERA
18004510287OtherTXBLUE CROSS BLUE SHIELD
550768OtherTXNVA

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
I20120601000118 TX Practitioner - Optometry 9739342718 Receives reassigned benefits from 2 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4709TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia B Slaton Optometrist CurrentSince Jun 30, 2018 Accepting new patients

Locations

1313 Fry Rd
Ste A
Katy, TX 77449
Phone (281) 579-6939

1313 Fry Rd
#A
Katy, TX 77449

1313 Fry Rd
Katy, TX 77449
Phone (281) 578-1123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487772067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SIBELIUS LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770797203",
            "telephone_number": "713-973-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N FRY RD STE A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493343",
            "telephone_number": "281-579-6939",
            "fax_number": "281-579-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATON",
        "first_name": "CYNTHIA",
        "middle_name": "BULLARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4709T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "52719",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "03855",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18004510287",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "550768",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.