Individual provider Active NPI

Toby Jay Brown, OD

  • Optometrist
  • Tulia, TX
National Provider Identifier
1053366096
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5379T Issued in TX
Practice address
317 SW 2ND St
Tulia, TX 79088-0474
Phone
(806) 995-4102
Fax
(806) 995-3216
NPI assigned
May 24, 2006
Last updated
Apr 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5379T TX Primary

Addresses

Primary practice location

317 SW 2ND St
Tulia, TX 79088-0474

Mailing address

PO Box 474
Tulia, TX 79088-0474
Phone (806) 995-4102

Other identifiers 1

IdentifierTypeStateIssuer
00E412OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000084 TX Practitioner - Optometry 4880750355 Reassigns benefits to 1 organization
Practice locations: Tulia, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

317 SW 2ND St
Tulia, TX 79088-2743
Phone (806) 995-4102

PO Box
Suite 474
Tulia, TX 79088-0474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5379TXMDBehavioral Analyst
5379TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Vision Center PLLC Optometrist CurrentSince May 30, 2025 Accepting new patients

Locations

317 SW 2nd St
Tulia, TX 79088
Phone (806) 995-4102

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1053366096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790880474",
            "telephone_number": "806-995-4102",
            "fax_number": "806-995-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SW 2ND ST",
            "city": "TULIA",
            "state": "TX",
            "postal_code": "790880474",
            "telephone_number": "806-995-4102",
            "fax_number": "806-995-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TOBY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5379T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00E412",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulia, TX

Sources for this page

Verify at the official NPI Registry.