Organization Active NPI

Amy E. Bishop, O.D.

  • Eyewear Supplier
  • Childress, TX
National Provider Identifier
1780866202
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4950TG Issued in TX
Legal business name
AMY E. BISHOP, O.D.
Practice address
125 Avenue B NW
Childress, TX 79201-4513
Phone
(940) 937-2015
Fax
(940) 937-6889
NPI assigned
Nov 27, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Amy E Bishop, O.D.NPI 1255438578
Title
Optometrist
Phone
(940) 937-2015

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
Eyewear Supplier 332H00000X 4950TG TX Primary

Addresses

Primary practice location

125 Avenue B NW
Childress, TX 79201-4513

Mailing address

125 Avenue B NW
PO Box 256
Childress, TX 79201-4513
Phone (940) 937-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930012251 TX DME Supplier - Physician - OptometristDME Supplier - Optician 9638299050 Practice locations: Childress, TX

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
Family Eye Care125 Avenue B NW, Childress, TX 79201-4513(940) 937-2015 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Locations

125 Avenue B NW
Childress, TX 79201
Phone (940) 937-2015

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1780866202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 AVENUE B NW",
            "address_2": "PO BOX 256",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792014513",
            "telephone_number": "940-937-2015",
            "fax_number": "940-937-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AVENUE B NW",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792014513",
            "telephone_number": "940-937-2015",
            "fax_number": "940-937-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY E. BISHOP, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "940-937-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "4950TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Childress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.