Jacqueline Sue Brending, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4230TG Issued in TX

Practice address

17074 Highway 3
Webster, TX 77598-4129

Phone

(281) 338-8474

Fax

(281) 338-4795

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clear Lake Eye Center PLLCGroup PAC ID 7315170586, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clear Lake Eye Center PLLC

  • Optometrist
  • Webster, TX
  • NPI 1093145807
  Medicare reassignment Care Compare group NPD Authorized official
• Clear Lake Eye Center

  • Optometrist
  • Webster, TX
  • NPI 1033547203
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306907795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17074 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984129",
            "telephone_number": "281-338-8474",
            "fax_number": "281-338-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17074 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984129",
            "telephone_number": "281-338-8474",
            "fax_number": "281-338-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDING",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4230TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "061 1004643",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "15648",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "35011",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "760438604-00",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stevi Brook Braswell, FNP
• Katharine Brazzil
• Breathe Eazy LLC
• Andrew J Breland, MS, MPAS, LPC, PA-C
• Gabrielle Brending, OD
• Patrick Kevin Briggs, DPM
• Hillary Hanna Brink, M.A., CCC/A
• Amber Brodbeck
• Kenneth Ryan Brooks, M.D.
• Amber Brown, CPNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.