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TEXAS STATE OPTICAL OF BRYAN PC NPI 1275715963


NPI Information

NPI: 1275715963
Provider Name: TEXAS STATE OPTICAL OF BRYAN PC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3030 E 29TH ST
SUITE 106
BRYAN, TX
ZIP 77802
Phone: (979) 731-8446
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TEXAS STATE OPTICAL OF BRYAN PC is an eyewear supplier in Bryan, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TEXAS STATE OPTICAL OF BRYAN PC NPI is 1275715963. The provider is registered as an organization entity type.

The provider's business location address is:

3030 E 29TH ST
SUITE 106
BRYAN, TX
ZIP 77802-757
Phone: (979) 731-8446

The provider's authorized official is Gerald D Phillips .
The authorized official title is Doctor and has the following contact phone number (979) 731-8446.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 10/3/2008.


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
1332H00000XEyewear SupplierTEXASYes

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
116258OTHERTEXASSCOTT & WHITE
2112311903MEDICAIDTEXAS
380323EOTHERTEXASBLUE CROSS BLUE SHIELD
4902303OTHERTEXASBLOCK VISION
56271OTHERTEXASAVESIS
616110OTHERTEXASSPECTERA
70281250001MEDICARE NSCTEXAS
859496OTHERTEXASSAFEGUARD
900E56GMEDICARE PINTEXAS
10410000907MEDICARE PINTEXAS
11TX2145OTHERTEXASEYEMED

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: 5/5/2024
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