Provider Demographics
NPI:1235459660
Name:BYNUM EYE CARE P A
Entity Type:Organization
Organization Name:BYNUM EYE CARE P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BYNUM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-642-3516
Mailing Address - Street 1:650 N. HWY 377
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76273
Mailing Address - Country:US
Mailing Address - Phone:903-564-9100
Mailing Address - Fax:903-564-9800
Practice Address - Street 1:650 N. HWY 377
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273
Practice Address - Country:US
Practice Address - Phone:903-564-9100
Practice Address - Fax:903-564-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty