Individual provider Active NPI

Brian D Ranelle, D.O.

  • Ophthalmology Physician
  • Hurst, TX
National Provider Identifier
1477648301
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E1396 Issued in TX
Practice address
1872 Norwood Dr
200
Hurst, TX 76054-3066
Phone
(817) 540-6060
Fax
(817) 553-7994
NPI assigned
Oct 4, 2006
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E1396 TX Primary

Addresses

Primary practice location

1872 Norwood Dr
200
Hurst, TX 76054-3066

Mailing address

1872 Norwood Dr
200
Hurst, TX 76054-3066
Phone (817) 540-6060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address branelle@texaseye.ecldirect.net Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000608 TX Practitioner - Ophthalmology 7113823071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Eye and Laser Center, PA Ophthalmology CurrentSince Aug 1, 2001 Accepting new patients
Eye Specialists and Laser Center of Texas Ophthalmology Past Accepting new patients
A B Optical, Inc Past Accepting new patients
Texas Eye Surgery Center, LLC PastSince Feb 9, 2007 Accepting new patients

Locations

839 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 645-2411

1872 Norwood Dr
Ste 200
Hurst, TX 76054
Phone (817) 540-6060

933 Hilltop Dr
Ste 101
Weatherford, TX 76086
Phone (817) 540-6060

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1477648301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 NORWOOD DR",
            "address_2": "200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543066",
            "telephone_number": "817-540-6060",
            "fax_number": "817-553-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 NORWOOD DR",
            "address_2": "200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543066",
            "telephone_number": "817-540-6060",
            "fax_number": "817-553-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANELLE",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E1396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "branelle@texaseye.ecldirect.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1872 Norwood Dr",
            "address_2": "200",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760543066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.