Brandon La, OD

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

10779T Issued in TX

Practice address

4020 W Plano Pkwy
Plano, TX 75093-5613

Phone

(469) 999-2747

Fax

(469) 606-0925

NPI assigned

Feb 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, FL2 enrollments

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 2

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Low Vision Institute of Texas PLLCGroup PAC ID 9830563410, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: bla@crmd.emadirect.md

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.

• University of the Incarnate Word

  dba Eye & Vision Care Clinic

  • Optometrist
  • San Antonio, TX
  • NPI 1003129784
  Medicare reassignment NPD
• Low Vision Institute of Texas PLLC

  • Low Vision Rehabilitation Optometrist
  • Plano, TX
  • NPI 1720786775
  Care Compare group NPD
• University of the Incarnate Word

  dba Nursing Cardinal Clinic

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1033591706
  NPD
• Vitality Sports Medicine, Inc.

  • Sports Physician Chiropractor
  • Plano, TX
  • NPI 1942456082
  NPD
• Vitreous & Retina Consultants, PA

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1730159575
  NPD
• Vitreous and Retina Consultants, LLC

  • Ophthalmology Physician
  • Lakeland, FL
  • NPI 1619156080
  NPD

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1710686118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AVENUE K SW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935613",
            "telephone_number": "469-999-2747",
            "fax_number": "469-606-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA",
        "first_name": "BRANDON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-24",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "10779T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10779T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L-Nutra Inc
• La la Land Anesthesia
• La Mastra Holdings, PLLC
• Cheryl Bell La Mastra, LPC-S
• Jennifer Lyn La Torre, LCSW
• Julie La
• Laali Management Group (Epic Chiropractic)
• Cyrus Amman Laali, D.C.
• Lab Test DX, LLC
• Hilary Joyce Labac, M.ED., LPC

• Low Vision Rehabilitation Optometrist in Plano, TX
• Providers in Plano, TX by specialty
• Low Vision Rehabilitation Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.