Individual provider Active NPI

Bryan Grayson Roof, O.D.

  • Optometrist
  • Tomball, TX
National Provider Identifier
1659635571
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7956TG Issued in TX
Practice address
24504 Kuykendahl Rd
Suite 500
Tomball, TX 77375-3413
Phone
(832) 663-0051
Fax
(832) 698-4987
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7956TG TX Primary

Addresses

Primary practice location

24504 Kuykendahl Rd
Suite 500
Tomball, TX 77375-3413

Mailing address

24504 Kuykendahl Rd Ste 500
Tomball, TX 77375-3413
Phone (832) 698-1759

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
I20130219000100 TX Practitioner - Optometry 5395990592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24504 Kuykendahl Rd
Suite 500
Tomball, TX 77375-3413
Phone (832) 663-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7956TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Timberwilde Eye Care, PLLC Optometrist CurrentSince Jan 25, 2016 Accepting new patients
Leander Eye Care PC Optometrist CurrentSince Nov 26, 2012 Accepting new patients
Vision Center of Texas, PA Past Accepting new patients

Locations

107 Sheila Dr
Leander, TX 78641
Phone (512) 259-8484

24504 Kuykendahl Rd
Ste 500
Tomball, TX 77375
Phone (832) 663-0051

Interoperability endpoints

  • Direct secure messaging: bryan.roof@direct.revolutionehr.com

Organizations & group practices 3

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1659635571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24504 KUYKENDAHL RD STE 500",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753413",
            "telephone_number": "832-698-1759",
            "fax_number": "832-698-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24504 KUYKENDAHL RD",
            "address_2": "SUITE 500",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753413",
            "telephone_number": "832-663-0051",
            "fax_number": "832-698-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOF",
        "first_name": "BRYAN",
        "middle_name": "GRAYSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7956TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.