Active NPI
Richard H. Brodtmann, O.D.
Doing business as Texas State Optical of New Braunfels
- Eyewear Supplier
- New Braunfels, TX
National Provider Identifier
1639294614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 2507T
- Legal business name
- RICHARD H. BRODTMANN, O.D.
- Doing business as
- Texas State Optical of New Braunfels
- Practice address
- 101 Ih 35 West
New Braunfels, TX 78130 - Phone
- (830) 629-1248
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Hilaire Brodtmann, O.D.
- Title
- Optometrist
- Phone
- (830) 629-1248
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 2507T | TX | Primary |
Addresses
Primary practice location
101 Ih 35 West
New Braunfels, TX 78130
Mailing address
101 Ih 35 West
New Braunfels, TX 78130
Phone (830) 629-1248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019973901 | Medicaid | TX |
Other names 1
- Texas State Optical of New Braunfels
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- New Braunfels, TX
- NPI 1588749444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1639294614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 IH 35 WEST",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78130",
"telephone_number": "830-629-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 IH 35 WEST",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78130",
"telephone_number": "830-629-1248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD H. BRODTMANN, O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "BRODTMANN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "HILAIRE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "830-629-1248",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "TX",
"license": "2507T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019973901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas State Optical of New Braunfels",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.