DR. MARY ELIZABETH BUMGARNER O.D NPI 1942346572

NPI Information

NPI: 1942346572
Provider Name: DR. MARY ELIZABETH BUMGARNER, O.D
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
202 E BOLING HWY
WHARTON, TX
ZIP 77488
Phone: (979) 532-4500
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DR. Mary Elizabeth Bumgarner, O.D is a pediatrics optometrist in Wharton, TX with 21 years of experience. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Mary Elizabeth Bumgarner, O.D NPI is 1942346572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduation Year:2003

The provider's business location address is:

202 E BOLING HWY
WHARTON, TX
ZIP 77488
Phone: (979) 532-4500

The NPI 1942346572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/30/2007 and was last updated on 4/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		06467TG	TEXAS	No
2	152WC0802X	Optometrist	Corneal and Contact Management	06467TG	TEXAS	No
3	152WP0200X	Optometrist	Pediatrics	06467TG	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8B9792	MEDICARE ID-TYPE UNSPECIFIED
2	V00200	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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