Organization Active NPI

JBK Eye Care LLP

Doing business as Advanced Eye Care Canyon

  • Optometrist
  • Canyon, TX
National Provider Identifier
1598754111
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02644TG Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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.NPI 1649267048
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6050390001OtherTXMEDICARE DME

Other names 1

  • Advanced Eye Care Canyon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
J B K Eye Care LLP1801 4TH Ave, Canyon, TX 79015-3853(806) 655-7748 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Aug 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
Advanced Eye Care Canyon2 organizations share this tax ID, including this one

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.

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.

Verify at the official NPI Registry.