Organization Active NPI

Buda Vision Source PLLC

  • Optometrist
  • Buda, TX
National Provider Identifier
1477809606
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7392 Issued in TX
Legal business name
BUDA VISION SOURCE PLLC
Practice address
3310 FM 967 # B
Suite a-108
Buda, TX 78610-3487
Phone
(432) 413-1997
NPI assigned
Jul 25, 2012
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Brittany Harrison
Title
Director
Phone
(512) 295-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7392 TX Primary

Addresses

Primary practice location

3310 FM 967 # B
Suite a-108
Buda, TX 78610-3487

Mailing address

3310 FM 967 # B
Suite a-108
Buda, TX 78610-3487
Phone (512) 295-0076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121106000364 TX Part B Supplier - Clinic/Group Practice 9436300159 Receives reassigned benefits from 5 practitioners
Practice locations: Buda, TX

National Provider Directory

National Provider Directory

Locations

3310 FM 967
Ste A108
Buda, TX 78610
Phone (512) 295-0076

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1477809606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 FM 967 # B",
            "address_2": "SUITE A-108",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786103487",
            "telephone_number": "512-295-0076",
            "fax_number": "512-312-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 FM 967 # B",
            "address_2": "SUITE A-108",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786103487",
            "telephone_number": "432-413-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUDA VISION SOURCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-295-0076"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buda, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.