Individual provider Active NPI

James Warren Brasher, O.D.

  • Occupational Vision Optometrist
  • San Angelo, TX
National Provider Identifier
1114028883
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
05712TG Issued in TX
Practice address
1721 Knickerbocker Rd
San Angelo, TX 76904-5521
Phone
(325) 944-8531
Fax
(325) 944-4213
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05712TG TX
Corneal and Contact Management Optometrist 152WC0802X 05712TG TX
Low Vision Rehabilitation Optometrist 152WL0500X 05712TG TX
Pediatric Optometrist 152WP0200X 05712TG TX
Sports Vision Optometrist 152WS0006X 05712TG TX
Vision Therapy Optometrist 152WV0400X 05712TG VT
Occupational Vision Optometrist 152WX0102X 05712TG TX Primary

Addresses

Primary practice location

1721 Knickerbocker Rd
San Angelo, TX 76904-5521

Mailing address

1721 Knickerbocker Rd
San Angelo, TX 76904-5521
Phone (325) 944-8531

Other identifiers 1

IdentifierTypeStateIssuer
80301QOtherTNBLUE CROSS BLUE SHIELD

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
I20120420000105 TX Practitioner - Optometry 6305818352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angelo Eye Associates PAGroup PAC ID 7416929468, 4 clinicians

Practice addresses (Care Compare)

1104 S Bridge St
Brady, TX 76825-6228
Phone (325) 597-3500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05712TGTXMDOptometrist
05712TGVTMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medicial Associates of Abilene PastSince Jul 1, 2002 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114028883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045521",
            "telephone_number": "325-944-8531",
            "fax_number": "325-944-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045521",
            "telephone_number": "325-944-8531",
            "fax_number": "325-944-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHER",
        "first_name": "JAMES",
        "middle_name": "WARREN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05712TG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "05712TG",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "05712TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "05712TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "05712TG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "VT",
            "license": "05712TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "05712TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80301Q",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.