Individual provider Active NPI

Jayanna D Byrd, OD

  • Optometrist
  • Jacksonville, TX
National Provider Identifier
1922416825
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8390T Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
345170001MedicaidTX

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
I20150217001604 TX Practitioner - Optometry 3173848033 Reassigns benefits to 2 organizations

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
Daniel M Gold MD PAGroup PAC ID 6608856158, 11 clinicians

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 100Reported as group
Quality
94.32
Improvement activities
40
Cost
77.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8390TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel M Gold MD PA CurrentSince Nov 15, 2014 Accepting new patients
Palestine Laser & Surgery Center PLLC CurrentSince Jan 21, 2026 Accepting new patients
Emergenchealth PLLC PastSince Jan 21, 2026 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.

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

Verify at the official NPI Registry.