Individual provider Active NPI

Bryan Dale Huskey, OPTICIAN

  • Optician
  • Texas City, TX
National Provider Identifier
1083747919
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
2328 Palmer Hwy
Texas City, TX 77590-7142
Phone
(409) 945-7131
Fax
(409) 745-7131
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

2328 Palmer Hwy
Texas City, TX 77590-7142

Mailing address

2328 Palmer Hwy
Texas City, TX 77590-7142
Phone (409) 945-7131

Other identifiers 1

IdentifierTypeStateIssuer
928908MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1083747919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775907142",
            "telephone_number": "409-945-7131",
            "fax_number": "409-945-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775907142",
            "telephone_number": "409-945-7131",
            "fax_number": "409-745-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSKEY",
        "first_name": "BRYAN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "928908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.