Organization Active NPI

Frank M Ryburn III, M.D. P.a.

  • Ophthalmology Physician
  • Lubbock, TX
National Provider Identifier
1487954418
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F9007 Issued in TX
Legal business name
FRANK M RYBURN III, M.D. P.A.
Practice address
3420 23Rd St
Lubbock, TX 79410-1322
Phone
(806) 793-2474
Fax
(806) 791-5819
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Frank McCutchen Ryburn III, M.D.
Title
Owner/Physcian
Phone
(806) 793-2474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X F9007 TX Primary

Addresses

Primary practice location

3420 23Rd St
Lubbock, TX 79410-1322

Mailing address

3420 23Rd St
Lubbock, TX 79410-1322
Phone (806) 793-2474

Other identifiers 1

IdentifierTypeStateIssuer
P000PK739MedicaidTX

National Provider Directory

National Provider Directory

Locations

3420 23rd St
Lubbock, TX 79410
Phone (806) 793-2474

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1487954418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101322",
            "telephone_number": "806-793-2474",
            "fax_number": "806-791-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101322",
            "telephone_number": "806-793-2474",
            "fax_number": "806-791-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK M RYBURN III, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "RYBURN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MCCUTCHEN",
        "authorized_official_title_or_position": "OWNER/PHYSCIAN",
        "authorized_official_telephone_number": "806-793-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F9007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000PK739",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.