M.L. Brochner, M.D., P.C. Visual Images

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L6001 Issued in TX

Legal business name

M.L. BROCHNER, M.D., P.C. VISUAL IMAGES

Practice address

4708 Alliance Blvd
Suite 825
Plano, TX 75093-5340

Phone

(214) 483-6727

Fax

(214) 483-6728

NPI assigned

Apr 30, 2009

Last updated

May 18, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michelle Brochner, M.D.NPI 1962401273

Title

Owner

Phone

(214) 483-6727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle L Brochner, MD

  • Ophthalmology Physician
  • Plano, TX
  • NPI 1962401273
  Medicare reassignment NPD Authorized official
• Jeri Kellett Charles, FNP

  • Family Nurse Practitioner
  • Marshall, TX
  • NPI 1851429229
  NPD (past)
• David C Lopez, LCSW

  • Clinical Social Worker
  • Marshall, TX
  • NPI 1124163191
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1043454358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "214-483-6727",
            "fax_number": "214-483-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "214-483-6727",
            "fax_number": "214-483-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.L. BROCHNER, M.D., P.C. VISUAL IMAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "BROCHNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-483-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L6001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Gerlach Dental
• Mary Frances Lyon, M.S. CCC-SLP
• Sabrina Lytle
• Charles M-Inim, LPC-A
• M.E. Diagnostics
• M.P. Nutrition LLC
• Jason J Ma, M.D.
• John Leo Ma, PHARMD
• Ma1Holdings Dba Proactive Dental (Proactive Dental)
• Gerhard Emil Maale III, M.D.

• Ophthalmology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.

Verify at the official NPI Registry.