Southpoint Vision, Christy Byrd, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1617 Issued in NC

Legal business name

SOUTHPOINT VISION, CHRISTY BYRD, OD, PLLC

Practice address

8202 Renaissance Pkwy Ste 104
Durham, NC 27713-6694

Phone

(919) 572-1200

Fax

(919) 572-1200

NPI assigned

Aug 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Byrd, ODNPI 1487632956

Title

Owner

Phone

(919) 572-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Christine Byrd, O.D.

  • Optometrist
  • Durham, NC
  • NPI 1487632956

  NC, Optometrist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1871019042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 RENAISSANCE PKWY STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136694",
            "telephone_number": "919-572-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 RENAISSANCE PKWY STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136694",
            "telephone_number": "919-572-1200",
            "fax_number": "919-572-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINT VISION, CHRISTY BYRD, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-572-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890915J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southpoint Opco LLC
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• Southpoint Podiatry, Inc.
• Southpoint Surgery Center LLC
• Southpoint Surgical PLLC
• Southwest Durham Family Medicine, PLLC
• Jason Southworth, PHARMD
• Jessica Aron Souza
• Juliana Gaerte Souza, FNP-C
• Benjamin Soydan, P.T.

• All providers in Durham, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.