Brookwood Eyecare, Inc.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

5357TG Issued in TX

Legal business name

BROOKWOOD EYECARE, INC.

Practice address

610 E Main St
League City, TX 77573-2458

Phone

(281) 338-1230

Fax

(281) 338-1239

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Morales, ODNPI 1376546796

Title

Owner/President

Phone

(281) 338-1230

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Montemayor Morales, OD

  • Optometrist
  • Webster, TX
  • NPI 1376546796
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538178157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732458",
            "telephone_number": "281-338-1230",
            "fax_number": "281-338-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732458",
            "telephone_number": "281-338-1230",
            "fax_number": "281-338-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-338-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5357TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "75022122",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "10633",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD",
            "identifier": "57733",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0078FE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "926746",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Clerc Bretz, LMT, MTI
• Lindsey Nicole Brevig, LMSW
• James Patrick Bridges, M.D.
• Alyssa R Briones, BCBA, LBA
• Michael Wayne Britt, MD
• Dyana Brown Dawkins
• Amani Bariki Brown, PA-C
• Betty L Brown, PH.D.
• David Eugene Brown Jr., LPC
• Dora Delia Brown

• Corneal and Contact Management Optometrist in League City, TX
• Providers in League City, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.