Organization Active NPI

Jennifer Catuncan OD PLLC

Doing business as First Eye Care Bedford

  • Optometrist
  • Bedford, TX
National Provider Identifier
1801226238
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7057 TG Issued in TX
Legal business name
JENNIFER CATUNCAN OD PLLC
Doing business as
First Eye Care Bedford
Practice address
2400 Airport Fwy
Ste 140
Bedford, TX 76022-6098
Phone
(817) 284-2964
Fax
(817) 283-2760
NPI assigned
Nov 21, 2013
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Dr. Jennifer Catuncan, O.D.NPI 1639334246
Title
Optometrist/Owner
Phone
(817) 284-2964

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7057 TG TX Primary

Addresses

Primary practice location

2400 Airport Fwy
Ste 140
Bedford, TX 76022-6098

Mailing address

2400 Airport Fwy
Ste 140
Bedford, TX 76022-6098
Phone (817) 284-2964

Other names 1

  • First Eye Care Bedford Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140331000253 TX Part B Supplier - Clinic/Group Practice 0941431217 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

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": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1801226238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AIRPORT FWY",
            "address_2": "STE 140",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226098",
            "telephone_number": "817-284-2964",
            "fax_number": "817-283-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AIRPORT FWY",
            "address_2": "STE 140",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226098",
            "telephone_number": "817-284-2964",
            "fax_number": "817-283-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CATUNCAN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "CATUNCAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "817-284-2964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7057 TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Eye Care Bedford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.

Verify at the official NPI Registry.