Organization Active NPI

Lamont Bunyon, OD, PA

Doing business as Special Eyes

  • Optometrist
  • Temple Hills, MD
National Provider Identifier
1760717789
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1617 Issued in MD
Legal business name
LAMONT BUNYON, OD, PA
Doing business as
Special Eyes
Practice address
3731 Branch Ave
Suite 211
Temple Hills, MD 20748-1404
Phone
(301) 702-0090
Fax
(301) 702-0023
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Dr. Lamont Tyler Bunyon, O.D.NPI 1922141076
Title
Owner
Phone
(301) 702-0090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA1617 MD Primary

Addresses

Primary practice location

3731 Branch Ave
Suite 211
Temple Hills, MD 20748-1404

Mailing address

3731 Branch Ave
Suite 211
Temple Hills, MD 20748-1404
Phone (301) 702-0090

Other names 1

  • Special Eyes Doing business as

National Provider Directory

National Provider Directory

Locations

3731 Branch Ave
Ste 211
Temple Hills, MD 20748
Phone (301) 702-0090

Practitioners & affiliated clinicians

Practitioners 2

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": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1760717789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 BRANCH AVE",
            "address_2": "SUITE 211",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481404",
            "telephone_number": "301-702-0090",
            "fax_number": "301-702-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 BRANCH AVE",
            "address_2": "SUITE 211",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481404",
            "telephone_number": "301-702-0090",
            "fax_number": "301-702-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMONT BUNYON, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "BUNYON",
        "authorized_official_first_name": "LAMONT",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-702-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.