Active NPI
John a Carter Jr OD PC
Doing business as Bonham Optical
- Optometrist
- Bonham, TX
National Provider Identifier
1740638170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5381TG
- Legal business name
- JOHN A CARTER JR OD PC
- Doing business as
- Bonham Optical
- Practice address
- 1230 N Center St
Bonham, TX 75418-3016 - Phone
- (903) 583-8930
- Fax
- (903) 583-8138
- NPI assigned
- May 26, 2016
- Last updated
- May 26, 2016
- 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
- Mr. Levi Malone, BS
- Title
- Office Manager
- Phone
- (903) 583-8930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5381TG | TX | Primary |
Addresses
Primary practice location
1230 N Center St
Bonham, TX 75418-3016
Mailing address
1230 N Center St
Bonham, TX 75418-3016
Phone (903) 583-8930
Other names 1
- Bonham Optical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Bonham Optical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1230 N Center St
Bonham, TX 75418
Phone (903) 583-8930
Practitioners & affiliated clinicians
Practitioners 1
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
- Bonham, TX
- NPI 1912977877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1740638170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 N CENTER ST",
"city": "BONHAM",
"state": "TX",
"postal_code": "754183016",
"telephone_number": "903-583-8930",
"fax_number": "903-583-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 N CENTER ST",
"city": "BONHAM",
"state": "TX",
"postal_code": "754183016",
"telephone_number": "903-583-8930",
"fax_number": "903-583-8138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN A CARTER JR OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "LEVI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "903-583-8930",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5381TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bonham Optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bonham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.