Provider Demographics
NPI:1629366752
Name:DESAI, BINDI ASHOK (OD)
Entity type:Individual
Prefix:
First Name:BINDI
Middle Name:ASHOK
Last Name:DESAI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 N UMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5969
Mailing Address - Country:US
Mailing Address - Phone:214-529-6437
Mailing Address - Fax:
Practice Address - Street 1:650 HIGHWAY 377 N
Practice Address - Street 2:BYNUM EYE CARE, PA
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-7460
Practice Address - Country:US
Practice Address - Phone:903-564-9100
Practice Address - Fax:903-564-9800
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7867TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286386201Medicaid
TX112409104Medicaid
TX112409104Medicaid
TX00E63GMedicare UPIN