Active NPI
David L Bridges, O. D.
- Optometrist
- Houston, TX
National Provider Identifier
1659351252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2486TG
- Practice address
- 21642 State Highway 249
Houston, TX 77070-1646 - Phone
- (281) 370-9931
- Fax
- (281) 251-6899
- NPI assigned
- Jan 19, 2006
- Last updated
- May 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2486TG | TX | Primary |
Addresses
Primary practice location
21642 State Highway 249
Houston, TX 77070-1646
Mailing address
21642 State Highway 249
Houston, TX 77070-1646
Phone (281) 370-9931
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120308000649 | TX | Practitioner - Optometry | 3971762055 | Practice locations: Houston, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2486TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1659351252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21642 STATE HIGHWAY 249",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701646",
"telephone_number": "281-370-9931",
"fax_number": "281-251-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21642 STATE HIGHWAY 249",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701646",
"telephone_number": "281-370-9931",
"fax_number": "281-251-6899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2486TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.