Brown Vision Center PLLC
Organization Active NPI Optometrist · Tulia, TX
NPI 1104630219 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1104630219
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- BROWN VISION CENTER PLLC
- Practice address
- 317 SW 2ND St
Tulia, TX 79088-2743 - Phone
- (806) 995-4102
- NPI assigned
- Feb 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Toby Brown, OD
- Title
- Employee
- Phone
- (806) 995-4102
Practitioners 1
-
Toby Jay Brown, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250620003051 | TX | Part B Supplier - Clinic/Group Practice | 2264944784 |
Receives reassigned benefits from 1 practitioner Practice locations: Tulia, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
317 SW 2ND St
Tulia, TX 79088-2743
Mailing address
PO Box 474
Tulia, TX 79088-0474
Other providers in Tulia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.