Individual provider Active NPI

Brenda C Floyd, O.D.

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1417988080
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02832T Issued in TX
Practice address
2410 S Stemmons Fwy
Ste E
Lewisville, TX 75067-8777
Phone
(972) 315-5202
Fax
(972) 315-3083
NPI assigned
Jul 5, 2006
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02832T TX Primary

Addresses

Primary practice location

2410 S Stemmons Fwy
Ste E
Lewisville, TX 75067-8777

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other names 1

  • Brenda C Brochetti Other name

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
I20050121000114 TX Practitioner - Optometry 5991754590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

2810 E Trinity Mills Rd
Suite 173
Carrollton, TX 75006-2351
Phone (972) 416-1270

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02832TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Apr 11, 2022 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 11, 2022 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Past Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

2810 E Trinity Mills Rd
Ste 173
Carrollton, TX 75006
Phone (972) 416-1270

3012 E Hebron Pkwy
Ste 100
Carrollton, TX 75010
Phone (972) 307-5000

11888 Marsh Ln
Ste 114
Dallas, TX 75234
Phone (972) 241-8084

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

819 Ira E Woods Ave
Grapevine, TX 76051
Phone (817) 488-4893

7457 Las Colinas Blvd
#100
Irving, TX 75063
Phone (214) 382-3061

2410 S Stemmons Fwy
Ste E
Lewisville, TX 75067
Phone (872) 315-5202

291 E Round Grove Rd
Ste 185
Lewisville, TX 75067
Phone (972) 315-5202

3405 Midway Rd
Ste 421
Plano, TX 75093
Phone (972) 801-2727

1247 Main St
Southlake, TX 76092
Phone (817) 481-2070

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1417988080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S STEMMONS FWY",
            "address_2": "STE E",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678777",
            "telephone_number": "972-315-5202",
            "fax_number": "972-315-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "BRENDA",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02832T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BROCHETTI",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.