Broughton Enterprises Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BROUGHTON ENTERPRISES INC

Doing business as

Texas State Optical of Lufkin

Practice address

905 S John Redditt Dr
Lufkin, TX 75904-4326

Phone

(936) 632-1119

Fax

(936) 637-7811

NPI assigned

Oct 2, 2006

Last updated

Mar 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Broughton

Title

Bookkeeper

Phone

(936) 632-1119

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Texas State Optical of Lufkin Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• James Wiedenfeld, O.D.

  • Optometrist
  • Frisco, TX
  • NPI 1356793756
  NPD (past)
• Mark Edward Wiedenfeld, O.D.

  • Optometrist
  • Lufkin, TX
  • NPI 1801817689
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1346333036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759044326",
            "telephone_number": "936-632-1119",
            "fax_number": "936-637-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759044326",
            "telephone_number": "936-632-1119",
            "fax_number": "936-637-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUGHTON ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "936-632-1119"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "16081",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066437701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "23154",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical of Lufkin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Brookshire Brothers Inc
• Brookshire Brothers LTD (Brookshire Brothers Pharmacy)
• Brookshire Brothers, LTD.
• Karol B Brown, WHNP
• Marlene Brown, RN, MPH, CPH
• James R Bruce, MD
• Jessica Michelle Bryan
• Shelby Elizabeth Bryan, LVN, TS-C, FA

• Eyewear Supplier in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.