Individual provider Active NPI

Linda Jean Braun, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1376678755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3720TG Issued in TX
Practice address
2310 SW Military Dr
432
San Antonio, TX 78224-1407
Phone
(210) 922-8695
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3720TG TX Primary

Addresses

Primary practice location

2310 SW Military Dr
432
San Antonio, TX 78224-1407

Mailing address

521 W Euclid Ave
San Antonio, TX 78212-5125
Phone (210) 380-6452

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041020000664 TX Practitioner - Optometry 4486615762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3720TGTXMDOptometrist
3720TXMDAdult Day Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Dorsey Eyecare PLLC Optometrist CurrentSince Oct 20, 2014 Accepting new patients

Locations

13909 Nacogdoches Rd
Ste 115
San Antonio, TX 78217
Phone (210) 637-7822

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376678755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W EUCLID AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125125",
            "telephone_number": "210-380-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 SW MILITARY DR",
            "address_2": "432",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241407",
            "telephone_number": "210-922-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3720TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.