Individual provider Active NPI

John Alfred Carter Jr., O.D.

  • Optometrist
  • Bonham, TX
National Provider Identifier
1912977877
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5381 TG Issued in TX
Practice address
1230 N Center St
Bonham, TX 75418-3016
Phone
(903) 583-8930
NPI assigned
Jan 24, 2006
Last updated
May 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5381 TG 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 identifiers 1

IdentifierTypeStateIssuer
3305302-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121130000098 TX Practitioner - Optometry 0749432557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1230 N Ctr St
Bonham, TX 75418-3016
Phone (903) 583-8930

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5381 TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Carter, Jr., O.D., P.a. Optometrist Current Accepting new patients
John a Carter Jr OD PC Optometrist CurrentSince May 8, 2016 Accepting new patients
John D. Coble Optometrist Past Accepting new patients

Locations

1230 N Center St
Bonham, TX 75418
Phone (903) 583-8930

15 East Plz
Paris, TX 75460
Phone (903) 784-6649

Interoperability endpoints

  • Direct secure messaging: john.carter.1@16194.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1912977877",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JOHN",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5381 TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3305302-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonham, TX

Sources for this page

Verify at the official NPI Registry.