Organization Active NPI

Bryan Cave, O.D.

  • Optometrist
  • Snyder, TX
National Provider Identifier
1154545481
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3325T Issued in TX
Legal business name
BRYAN CAVE, O.D.
Practice address
5305 Trinity Blvd
Suite D
Snyder, TX 79549-6164
Phone
(325) 573-5571
Fax
(325) 573-6868
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
Dennis Bryan Cave, O.D.
Title
Owner
Phone
(325) 573-5571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3325T TX Primary

Addresses

Primary practice location

5305 Trinity Blvd
Suite D
Snyder, TX 79549-6164

Mailing address

5305 Trinity Blvd
Suite D
Snyder, TX 79549-6164
Phone (325) 573-5571

Other identifiers 5

IdentifierTypeStateIssuer
540010583OtherTXRAILROAD MEDICARE
093269120MedicaidTX
00E50AOtherTXBLUE CROSS BLUE SHIELD TX
110055102OtherTXFIRST CARE
11390OtherTXOPTICARE

National Provider Directory

National Provider Directory

Locations

5305 Trinity Blvd
Ste D
Snyder, TX 79549
Phone (325) 573-5571

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1154545481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 TRINITY BLVD",
            "address_2": "SUITE D",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496164",
            "telephone_number": "325-573-5571",
            "fax_number": "325-573-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 TRINITY BLVD",
            "address_2": "SUITE D",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496164",
            "telephone_number": "325-573-5571",
            "fax_number": "325-573-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN CAVE, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "CAVE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-573-5571",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3325T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "540010583",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093269120",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "00E50A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "110055102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "11390",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.