Healthcare Provider Details

I. General information

NPI: 1629366752
Provider Name (Legal Business Name): BINDI ASHOK DESAI OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2011
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 HIGHWAY 377 N BYNUM EYE CARE, PA
WHITESBORO TX
76273-7460
US

IV. Provider business mailing address

2816 N UMBERLAND DR
LEWISVILLE TX
75056-5969
US

V. Phone/Fax

Practice location:
  • Phone: 903-564-9100
  • Fax: 903-564-9800
Mailing address:
  • Phone: 214-529-6437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number7867TG
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: