Brilliant Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

7277TG Issued in TX

Legal business name

BRILLIANT EYE CARE LLC

Practice address

1517 Texas Ave S
College Station, TX 77840-3328

Phone

(979) 695-3937

Fax

(979) 695-3938

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Thuong Le Gist, O.D.NPI 1528211737

Title

Owner

Phone

(979) 695-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Thuong Le Gist, O.D.

  • Optometrist
  • College Station, TX
  • NPI 1528211737
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Koch, OD

  • Optometrist
  • Spring, TX
  • NPI 1053899732
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1134533987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 TEXAS AVE S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403328",
            "telephone_number": "979-695-3937",
            "fax_number": "979-695-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 TEXAS AVE S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403328",
            "telephone_number": "979-695-3937",
            "fax_number": "979-695-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "THUONG",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-695-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7277TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in College Station, TX
• Providers in College Station, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.