Organization Active NPI

Brilliant Eye Doctors PLLC

  • Optometrist
  • Katy, TX
National Provider Identifier
1174234371
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRILLIANT EYE DOCTORS PLLC
Practice address
22225 FM 529 Rd Ste 104
Katy, TX 77493-5095
Phone
(979) 695-3937
NPI assigned
Dec 8, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Dr. Thuong Le Gist, ODNPI 1528211737
Title
Manager/Chairman
Phone
(979) 695-3937

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

22225 FM 529 Rd Ste 104
Katy, TX 77493-5095

Mailing address

10939 Sarah Bluff LN
Cypress, TX 77433-5275
Phone (713) 382-9001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240226003665 TX Part B Supplier - Clinic/Group Practice 8426429416 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1174234371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10939 SARAH BLUFF LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335275",
            "telephone_number": "713-382-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22225 FM 529 RD STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774935095",
            "telephone_number": "979-695-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT EYE DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "THUONG",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "MANAGER/CHAIRMAN",
        "authorized_official_telephone_number": "979-695-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.