Organization Active NPI

Michael T Poynor OD PA

  • Optometrist
  • Terrell, TX
National Provider Identifier
1710289376
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2294T Issued in TX
Legal business name
MICHAEL T POYNOR OD PA
Practice address
110 N Adelaide St
Terrell, TX 75160-2709
Phone
(972) 563-3253
NPI assigned
Dec 2, 2010
Last updated
Sep 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Michael Thomas Poynor, O.D.
Title
President
Phone
(972) 937-6869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2294T TX Primary

Addresses

Primary practice location

110 N Adelaide St
Terrell, TX 75160-2709

Mailing address

807 W Marvin Ave
Waxahachie, TX 75165-3023
Phone (972) 937-6869

National Provider Directory

National Provider Directory

Locations

1830 S Buckner Blvd
Dallas, TX 75217
Phone (214) 398-1144

Practitioners & affiliated clinicians

Practitioners 6

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": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1710289376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W MARVIN AVE",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653023",
            "telephone_number": "972-937-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ADELAIDE ST",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602709",
            "telephone_number": "972-563-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T POYNOR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "POYNOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-937-6869",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2294T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.