Healthcare Provider Details

I. General information

NPI: 1235459660
Provider Name (Legal Business Name): BYNUM EYE CARE P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 05/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 N. HWY 377
WHITESBORO TX
76273
US

IV. Provider business mailing address

650 N. HWY 377
WHITESBORO TX
76273
US

V. Phone/Fax

Practice location:
  • Phone: 903-564-9100
  • Fax: 903-564-9800
Mailing address:
  • Phone: 903-564-9100
  • Fax: 903-564-9800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ROBIN BYNUM
Title or Position: OWNER
Credential: OD
Phone: 281-642-3516