Active NPI
JBK Eye Care LLP
Doing business as Advanced Eye Care Canyon
- Optometrist
- Canyon, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02644TG
- Legal business name
- JBK EYE CARE LLP
- Doing business as
- Advanced Eye Care Canyon
- Practice address
- 1801 4TH Ave
Canyon, TX 79015-3853 - Phone
- (806) 655-7748
- Fax
- (806) 655-2871
- NPI assigned
- Oct 17, 2005
- Last updated
- Aug 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Janet L Townsend, O.D.
- Title
- Doctor
- Phone
- (806) 655-7748
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02644TG | TX | Primary |
Addresses
Primary practice location
1801 4TH Ave
Canyon, TX 79015-3853
Mailing address
1801 4TH Ave
Canyon, TX 79015-3853
Phone (806) 655-7748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6050390001 | Other | TX | MEDICARE DME |
Other names 1
- Advanced Eye Care Canyon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070316000212 | TX | Part B Supplier - Clinic/Group Practice | 3476656190 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment Practice locations: Canyon, TX; Hereford, TX |
| O20100930048316 | TX | DME Supplier - Physician - Optometrist | 3476656190 | Practice locations: Canyon, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Advanced Eye Care Hereford
- Optometrist
- Hereford, TX
- NPI 1407845449
O20070316000212
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| J B K Eye Care LLP | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Eye Care Canyon
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1801 4th Ave
Ste C
Canyon, TX 79015
Phone (806) 655-7748
517 N 25 Mile Ave
Hereford, TX 79045
Phone (806) 364-3030
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Canyon, TX
- NPI 1780671180
-
- Optometrist
- Canyon, TX
- NPI 1811302144
-
- Optometrist
- Bellaire, TX
- NPI 1144707886
-
- Optometrist
- Canyon, TX
- NPI 1649267048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219276800000",
"number": "1598754111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 4TH AVE",
"city": "CANYON",
"state": "TX",
"postal_code": "790153853",
"telephone_number": "806-655-7748",
"fax_number": "806-655-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 4TH AVE",
"city": "CANYON",
"state": "TX",
"postal_code": "790153853",
"telephone_number": "806-655-7748",
"fax_number": "806-655-2871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JBK EYE CARE LLP",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-17",
"last_updated": "2008-08-21",
"status": "A",
"authorized_official_last_name": "TOWNSEND",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "806-655-7748",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "02644TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "6050390001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Eye Care Canyon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canyon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.