Individual provider Active NPI

Gregory Mark Breaux, O.D.

  • Optometrist
  • Conroe, TX
National Provider Identifier
1528178779
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6887T Issued in TX
Practice address
2257 N Loop 336 W Ste 150
Conroe, TX 77304-3577
Phone
(936) 788-2600
Fax
(936) 788-2601
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6887T TX Primary

Addresses

Primary practice location

2257 N Loop 336 W Ste 150
Conroe, TX 77304-3577

Mailing address

2257 N Loop 336 W Ste 150
Conroe, TX 77304-3577
Phone (936) 788-2600

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
I20080522000496 TX Practitioner - Optometry 4183793797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2257 N Loop 336 W
150 Todays Vision
Conroe, TX 77304-3577
Phone (936) 788-2600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6887TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Today's Vision Conroe, P.a. Optometrist CurrentSince Oct 1, 2008 Accepting new patients

Locations

2257 N Loop 336 W
Ste 150
Conroe, TX 77304
Phone (936) 788-2600

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1528178779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 N LOOP 336 W STE 150",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043577",
            "telephone_number": "936-788-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 N LOOP 336 W STE 150",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043577",
            "telephone_number": "936-788-2600",
            "fax_number": "936-788-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "GREGORY",
        "middle_name": "MARK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6887T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.