Individual provider Active NPI

Taeana Fisher

  • Optometrist
  • Brownfield, TX
National Provider Identifier
1477449403
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11446 Issued in TX
Practice address
114 S 5TH St
Brownfield, TX 79316-4306
Phone
(806) 637-3937
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11446 TX Primary

Addresses

Primary practice location

114 S 5TH St
Brownfield, TX 79316-4306

Mailing address

114 S 5TH St
Brownfield, TX 79316-4306
Phone (806) 637-3937

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
I20250624004006 TX Practitioner - Optometry 2668984774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelly M Riley IncGroup PAC ID 8224154653, 3 clinicians

Practice addresses (Care Compare)

114 S 5TH St
Brownfield, TX 79316-4306
Phone (806) 637-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11446TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly M Riley Inc Optometrist CurrentSince Jun 16, 2025 Accepting new patients

Locations

114 S 5th St
Brownfield, TX 79316
Phone (806) 637-3937

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1477449403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S 5TH ST",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793164306",
            "telephone_number": "806-637-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S 5TH ST",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793164306",
            "telephone_number": "806-637-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TAEANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownfield, TX

Sources for this page

Verify at the official NPI Registry.