Active NPI
DRS Ethridge & Harding, Optometrist PLLC
- Optometrist
- Brownwood, TX
National Provider Identifier
1477254142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DRS ETHRIDGE & HARDING, OPTOMETRIST PLLC
- Doing business as
- Drs Ethridge & Harding, Optometrist PLLC
- Practice address
- 1200 Austin Ave
Brownwood, TX 76801-3311 - Phone
- (325) 643-5511
- Fax
- (325) 600-4225
- NPI assigned
- Mar 10, 2023
- 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
- J Randal Ethridge, OD
- Title
- Authorized Official
- Phone
- (325) 643-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 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
Other names 1
- Drs Ethridge & Harding, Optometrist PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| DRS Ethridge and Harding Optometry | Ocular Prostheses | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Brownwood, TX
- NPI 1144324260
-
- Optometrist
- Brownwood, TX
- NPI 1225683329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706400000000",
"number": "1477254142",
"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": "325-600-4225"
},
{
"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": "325-600-4225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS ETHRIDGE & HARDING, OPTOMETRIST PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-10",
"last_updated": "2024-01-28",
"certification_date": "2024-01-28",
"status": "A",
"authorized_official_last_name": "ETHRIDGE",
"authorized_official_first_name": "J",
"authorized_official_middle_name": "RANDAL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "325-643-5511",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Drs Ethridge & Harding, Optometrist PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.