Active NPI
Linda Jean Braun, O.D.
- Optometrist
- San Antonio, TX
National Provider Identifier
1376678755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3720TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041020000664 | TX | Practitioner - Optometry | 4486615762 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3720TG | TX | MD | Optometrist |
| 3720 | TX | MD | Adult Day Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dorsey Eyecare PLLC | Optometrist | Current | 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
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.