Organization Active NPI

Michael a Foster OD PA Inc

  • Optometrist
  • Brownsville, TX
National Provider Identifier
1457521916
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03631T Issued in TX
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

Updated by the provider on Jun 21, 2018

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1457521916MedicaidTX

Other names 1

  • Brownsville Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.