Active NPI
Jayanna D Byrd, OD
- Optometrist
- Jacksonville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8390T
- Practice address
- 928 S Bolton St
Jacksonville, TX 75766-2906 - Phone
- (903) 586-7900
- Fax
- (903) 586-4373
- NPI assigned
- Jul 24, 2014
- Last updated
- Feb 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8390T | TX | Primary |
Addresses
Primary practice location
928 S Bolton St
Jacksonville, TX 75766-2906
Mailing address
501 E Kolstad St
Palestine, TX 75801-2352
Phone (903) 731-4653
Other practice location 1
501 E Kolstad St
Palestine, TX 75801-2352
Phone (903) 731-4653 ext. 202
Other practice location 2
764 W Commerce St
Fairfield, TX 75840-1428
Phone (903) 389-3646
Other practice location 3
800 N Beaton St
Corsicana, TX 75110-3149
Phone (903) 874-0005
Other practice location 4
208 W Knox St
Ennis, TX 75119-4026
Phone (469) 456-0059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345170001 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 E Kolstad St
Palestine, TX 75801-2352
Phone (903) 723-3250
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.89 of 100
- Quality
- 94.32
- Improvement activities
- 40
- Cost
- 77.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8390T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel M Gold MD PA | Current | Accepting new patients | |
| Palestine Laser & Surgery Center PLLC | Current | Accepting new patients | |
| Emergenchealth PLLC | Past | Accepting new patients | |
| The Eye Center P a | Optometrist | Past | Accepting new patients |
Locations
800 N Beaton St
Corsicana, TX 75110
Phone (903) 874-0005
208 W Knox St
Ennis, TX 75119
Phone (469) 456-0059
764 W Commerce St
Fairfield, TX 75840
Phone (903) 389-2181
928 S Bolton St
Jacksonville, TX 75766
Phone (903) 586-0521
501 E Kolstad St
Palestine, TX 75801
Phone (903) 723-3250
501 E Kolstad St
#B
Palestine, TX 75801
Phone (903) 723-3250
501 E Kolstad St
Ste B
Palestine, TX 75801
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.
-
- Ambulatory Surgical Clinic/Center
- Palestine, TX
- NPI 1932212511
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1922416825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E KOLSTAD ST",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758012352",
"telephone_number": "903-731-4653",
"fax_number": "903-723-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 S BOLTON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757662906",
"telephone_number": "903-586-7900",
"fax_number": "903-586-4373"
}
],
"practiceLocations": [
{
"address_1": "501 E Kolstad St",
"address_purpose": "LOCATION",
"city": "Palestine",
"state": "TX",
"postal_code": "758012352",
"country_code": "US",
"telephone_number": "903-731-4653 x202",
"fax_number": "903-723-5550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "764 W Commerce St",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "TX",
"postal_code": "758401428",
"country_code": "US",
"telephone_number": "903-389-3646",
"fax_number": "903-389-3690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 N Beaton St",
"address_purpose": "LOCATION",
"city": "Corsicana",
"state": "TX",
"postal_code": "751103149",
"country_code": "US",
"telephone_number": "903-874-0005",
"fax_number": "903-874-0009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 W Knox St",
"address_purpose": "LOCATION",
"city": "Ennis",
"state": "TX",
"postal_code": "751194026",
"country_code": "US",
"telephone_number": "469-456-0059",
"fax_number": "469-456-0020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRD",
"first_name": "JAYANNA",
"middle_name": "D",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8390T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "345170001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.