John Alfred Carter Jr., O.D.
Individual provider Active NPI Optometrist · Bonham, TX
NPI 1912977877 · NPPES record last updated May 20, 2016
Key facts
- NPI
- 1912977877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 5381 TG (TX)
- Practice address
- 1230 N Center St
Bonham, TX 75418-3016 - Phone
- (903) 583-8930
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
-
John D Coble, O.D.
Medicare Care Compare profile
- 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 41 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121130000098 | TX | Practitioner - Optometry | 0749432557 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5381 TG | TX | MD | Optometrist |
| 5381 | TX | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John a Carter Jr OD PC | Optometrist | Current |
Accepting new patients |
| John a. Carter, Jr., O.D., P.a. | Optometrist | Current | 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
- john.carter.1@16194.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5381 TG | TX | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3305302-01 | Medicaid | TX |
Other providers in Bonham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.