Organization Active NPI

DRS Ethridge & Harding, Optometrist PLLC

  • Optometrist
  • Brownwood, TX
National Provider Identifier
1477254142
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jan 28, 2024

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240325001207 TX DME Supplier - Physician - Optometrist 0345687471 Practice locations: Brownwood, TX
O20260217001927 TX Part B Supplier - Clinic/Group Practice 0345687471 Receives reassigned benefits from 2 practitioners
Practice locations: Brownwood, TX

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
DRS Ethridge and Harding Optometry1200 Austin Ave, Brownwood, TX 76801-3311(325) 643-5511 Ocular Prostheses Accepts assignmentParticipating since May 7, 2025

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.