Organization Active NPI

Big Country Optical, PLLC

  • Eyewear Supplier
  • Abilene, TX
National Provider Identifier
1174842405
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BIG COUNTRY OPTICAL, PLLC
Practice address
4342 Treanor Dr
Abilene, TX 79602-7012
Phone
(325) 690-5900
Fax
(325) 690-5902
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Dr. Brettly Joel Teague, M.D.NPI 1952389967
Title
Owner/MD
Phone
(325) 690-5900

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
Eyewear Supplier 332H00000X TX Primary

Addresses

Primary practice location

4342 Treanor Dr
Abilene, TX 79602-7012

Mailing address

4342 Treanor Dr
Abilene, TX 79602-7012
Phone (325) 690-5900

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": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1174842405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 TREANOR DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027012",
            "telephone_number": "325-690-5900",
            "fax_number": "325-690-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 TREANOR DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027012",
            "telephone_number": "325-690-5900",
            "fax_number": "325-690-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG COUNTRY OPTICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "BRETTLY",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "325-690-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.