Donald E Rexroad, OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2133T Issued in TX

Practice address

2648 Highway 36 S
Brenham, TX 77833-9600

Phone

(979) 836-1077

Fax

(979) 830-1573

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1134133036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 HIGHWAY 36 S",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778339600",
            "telephone_number": "979-836-1077",
            "fax_number": "979-830-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 HIGHWAY 36 S",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778339600",
            "telephone_number": "979-836-1077",
            "fax_number": "979-830-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXROAD",
        "first_name": "DONALD",
        "middle_name": "E",
        "credential": "OD PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2133T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121655801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josie Mackenzie Ray
• Shar'Necquia Nichole Ray
• Bill Reeves, M.D
• Regional Employee Assistance Program Inc
• Rex Healthcare, Inc.
• Lauren Ashley Riels, OTR/L
• Tiffany Dawn Riordan, M.D.
• Mark I. Robbins, M.D.
• Clifford Wayne Robertson Jr.
• Yesenia Rodriguez

• Optometrist in Brenham, TX
• Providers in Brenham, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.