Organization Active NPI

Timberwilde Eye Care, PLLC

Doing business as Texas State Optical North Spring

  • Optometrist
  • Tomball, TX
National Provider Identifier
1366848251
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7956 Issued in TX
Legal business name
TIMBERWILDE EYE CARE, PLLC
Doing business as
Texas State Optical North Spring
Practice address
24504 Kuykendahl Rd Ste 500
Tomball, TX 77375-3413
Phone
(832) 698-1759
Fax
(832) 698-4987
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Dr. Bryan Roof, ODNPI 1659635571
Title
Optometrist
Phone
(832) 851-8186

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7956 TX Primary

Addresses

Primary practice location

24504 Kuykendahl Rd Ste 500
Tomball, TX 77375-3413

Mailing address

24504 Kuykendahl Rd Ste 500
Tomball, TX 77375-3413
Phone (832) 698-1759

Other names 1

  • Texas State Optical North Spring Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160217000985 TX Part B Supplier - Clinic/Group Practice 0042515728 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, 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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1366848251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24504 KUYKENDAHL RD STE 500",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753413",
            "telephone_number": "832-698-1759",
            "fax_number": "832-698-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24504 KUYKENDAHL RD STE 500",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753413",
            "telephone_number": "832-698-1759",
            "fax_number": "832-698-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERWILDE EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "ROOF",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "832-851-8186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical North Spring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.