JT Jolly Good Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

7467TG Issued in TX

Legal business name

JT JOLLY GOOD EYE CARE PLLC

Practice address

12625 N Ih 35
Austin, TX 78753-1074

Phone

(512) 293-7587

Fax

(512) 989-2879

NPI assigned

Jan 21, 2013

Organization subpart

No

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

Authorized official

Name

Jeremy Brueggemann, O.D.NPI 1811224132

Title

Optometrist/Co-Owner

Phone

(469) 693-1426

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.

• Jeremy Kyle Brueggemann, O.D.

  • Optometrist
  • Austin, TX
  • NPI 1811224132
  Medicare reassignment NPD Authorized official
• Nadia U Rutayisire, OD, MPH

  • Optometrist
  • Austin, TX
  • NPI 1659502045
  Medicare reassignment NPD

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1275871675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14900 AVERY RANCH BLVD",
            "address_2": "STE C200, #308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787173951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 N IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531074",
            "telephone_number": "512-293-7587",
            "fax_number": "512-989-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT JOLLY GOOD EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "BRUEGGEMANN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OPTOMETRIST/CO-OWNER",
        "authorized_official_telephone_number": "469-693-1426",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7467TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Joyner, APN
• Sarah Elizabeth Joyner, LCSW
• Tara Joyner, MA, LPC
• Joyous Home Healthcare Services, LLC
• Jrnys Medical, P.a.
• JT Senior Care, LLC (Home Instead Senior Care)
• Edith Juanah, MS, LPC-A, ATR-P
• Andres Juarez
• Calli Juarez
• Deborah Juarez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.