Active NPI
Comolli & Ethridge
- Durable Medical Equipment & Medical Supplies
- Brownwood, TX
National Provider Identifier
1386812246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- COMOLLI & ETHRIDGE
- Practice address
- 1200 Austin Ave
Brownwood, TX 76801-3311 - Phone
- (325) 643-5511
- Fax
- (325) 646-1496
- NPI assigned
- Feb 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Randal Ethridge, OD
- Title
- Partner
- Phone
- (325) 643-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1200 Austin Ave
Brownwood, TX 76801-3311
Mailing address
1200 Austin Ave
Brownwood, TX 76801-3311
Phone (325) 643-5511
National Provider Directory
National Provider DirectoryLocations
1200 Austin Ave
Brownwood, TX 76801
Phone (325) 643-5511
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Brownwood, TX
- NPI 1144324260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232582400000",
"number": "1386812246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 AUSTIN AVE",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768013311",
"telephone_number": "325-643-5511",
"fax_number": "325-646-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 AUSTIN AVE",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768013311",
"telephone_number": "325-643-5511",
"fax_number": "325-646-1496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMOLLI & ETHRIDGE",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-13",
"last_updated": "2009-01-22",
"status": "A",
"authorized_official_last_name": "ETHRIDGE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "RANDAL",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "325-643-5511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.