Active NPI
Bryan Total Vision Care
- Optometrist
- Bryan, TX
National Provider Identifier
1023265196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BRYAN TOTAL VISION CARE
- Practice address
- 2200 Briarcrest Dr
Ste 106
Bryan, TX 77802-5001 - Phone
- (979) 774-5400
- Fax
- (979) 731-8483
- NPI assigned
- Aug 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel R Vanlaningham, O.D.
- Title
- Vice President
- Phone
- (979) 774-5400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TX | Primary |
Addresses
Primary practice location
2200 Briarcrest Dr
Ste 106
Bryan, TX 77802-5001
Mailing address
2200 Briarcrest Dr
Ste 106
Bryan, TX 77802-5001
Phone (979) 774-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156519401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2200 Briarcrest Dr
Ste 106
Bryan, TX 77802
Phone (979) 774-5400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bryan, TX
- NPI 1528149374
-
- Optometrist
- Bryan, TX
- NPI 1669598041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1023265196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BRIARCREST DR",
"address_2": "STE 106",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025001",
"telephone_number": "979-774-5400",
"fax_number": "979-731-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BRIARCREST DR",
"address_2": "STE 106",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025001",
"telephone_number": "979-774-5400",
"fax_number": "979-731-8483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN TOTAL VISION CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-20",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "VANLANINGHAM",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "979-774-5400",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156519401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.