Modern Vision Group, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MODERN VISION GROUP, PLLC

Practice address

3908 Far W Blvd
Austin, TX 78731

Phone

(512) 343-0432

Fax

(512) 583-0588

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Juel Brinchman, O.D.NPI 1821404302

Title

Manager

Phone

(512) 927-6947

Specialties & licenses 1

Addresses

Practitioners 1

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

• Daniel Juel Brinchman, OD

  • Optometrist
  • Arlington, TX
  • NPI 1821404302
  NPD Authorized official

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1699309773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 FAR W BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-343-0432",
            "fax_number": "512-583-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 FAR W BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-343-0432",
            "fax_number": "512-583-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN VISION GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "BRINCHMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-927-6947",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andie Elisabeth Moczygemba, PA-C
• Daryl Ray Moczygemba, MSN, RN, CPNP
• Phyllis Kay Moczygemba, LCDC
• Modern Family Dentistry of Oak Hill, P.a.
• Modern Pediatrics Professionals, PLLC
• Modified Access Construction, LLC
• Pradeep Modur, M.D.
• Avni Mody, MD
• Jeffrey Donald Moe
• Lauren H Moede, MA, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.