Organization Active NPI

Global Reach Family Eye Clinic, PLLC

  • Optometrist
  • College Station, TX
National Provider Identifier
1114523685
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GLOBAL REACH FAMILY EYE CLINIC, PLLC
Practice address
1815 Brothers Blvd
College Station, TX 77845-5413
Phone
(936) 235-9357
NPI assigned
Dec 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Osita Ozuzu, O.DNPI 1912551045
Title
Managing Doctor
Phone
(936) 235-9357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1815 Brothers Blvd
College Station, TX 77845-5413

Mailing address

1815 Brothers Blvd
College Station, TX 77845-5413
Phone (936) 235-9357

Other names 1

  • Global Reach Family Eye Clinic,PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201229002058 TX Part B Supplier - Clinic/Group Practice 9638582273 Receives reassigned benefits from 1 practitioner
Practice locations: College Station, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1114523685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 BROTHERS BLVD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455413",
            "telephone_number": "936-235-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 BROTHERS BLVD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455413",
            "telephone_number": "936-235-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL REACH FAMILY EYE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "OZUZU",
        "authorized_official_first_name": "OSITA",
        "authorized_official_title_or_position": "MANAGING DOCTOR",
        "authorized_official_telephone_number": "936-235-9357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Reach Family Eye Clinic,PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.