Today'S Vision Conroe, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6887T Issued in TX

Legal business name

TODAY'S VISION CONROE, P.A.

Practice address

2257 N Loop 336 W
Suite 150
Conroe, TX 77304-3566

Phone

(936) 788-2601

Fax

(936) 788-2601

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gregory M. Breaux, ODNPI 1528178779

Title

OD

Phone

(713) 995-0042

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Gregory Mark Breaux, O.D.

  • Optometrist
  • Conroe, TX
  • NPI 1528178779
  Medicare reassignment NPD Authorized official
• Eli Gigliotta, O.D.

  • Optometrist
  • Conroe, TX
  • NPI 1417309238
  Medicare reassignment NPD

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1659528362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 N LOOP 336 W",
            "address_2": "SUITE 150",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043566",
            "telephone_number": "936-788-2600",
            "fax_number": "936-788-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 N LOOP 336 W",
            "address_2": "SUITE 150",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043566",
            "telephone_number": "936-788-2601",
            "fax_number": "936-788-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODAY'S VISION CONROE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "713-995-0042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6887T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY LICENSE",
            "identifier": "6887T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Conroe, TX
• Providers in Conroe, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.