Active NPI
Michael a Foster OD PA Inc
- Optometrist
- Brownsville, TX
National Provider Identifier
1457521916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 03631T
- Legal business name
- MICHAEL A FOSTER OD PA INC
- Practice address
- 2200 Boca Chica Blvd # 112
Brownsville, TX 78521-2212 - Phone
- (956) 214-5018
- Fax
- (956) 621-2984
- NPI assigned
- Mar 11, 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
- Michael A. Foster, O.D.
- Title
- President
- Phone
- (956) 214-5018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 03631T | TX | Primary |
Addresses
Primary practice location
2200 Boca Chica Blvd # 112
Brownsville, TX 78521-2212
Mailing address
2200 Boca Chica Blvd # 112
Brownsville, TX 78521-2212
Phone (956) 214-5018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457521916 | Medicaid | TX |
Other names 1
- Brownsville Eye Center
National Provider Directory
National Provider DirectoryLocations
2200 Boca Chica Blvd
Ste 106
Brownsville, TX 78521
Phone (956) 214-5018
2200 Boca Chica Blvd
Ste 112
Brownsville, TX 78521
Phone (956) 214-5018
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- St George, UT
- NPI 1558657585
-
- Optometrist
- Shenandoah, TX
- NPI 1982794814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1457521916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BOCA CHICA BLVD # 112",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785212212",
"telephone_number": "956-214-5018",
"fax_number": "956-621-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BOCA CHICA BLVD # 112",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785212212",
"telephone_number": "956-214-5018",
"fax_number": "956-621-2984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL A FOSTER OD PA INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-214-5018",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "03631T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457521916",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brownsville Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.