Bryan Nathan Kuder, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7822TG Issued in TX

Practice address

4009 Old Denton Rd Ste 124
Carrollton, TX 75007

Phone

(972) 939-6567

Fax

(972) 939-6268

NPI assigned

Aug 22, 2011

Last updated

Oct 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infinity Vision Associates PLLC

  • Optometrist
  • Carrollton, TX
  • NPI 1033540265
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1760762835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 OLD DENTON RD STE 124",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071070",
            "telephone_number": "972-939-6567",
            "fax_number": "972-939-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 OLD DENTON RD STE 124",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75007",
            "telephone_number": "972-939-6567",
            "fax_number": "972-939-6268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Early Blvd",
            "address_purpose": "LOCATION",
            "city": "Early",
            "state": "TX",
            "postal_code": "768022120",
            "country_code": "US",
            "telephone_number": "325-643-1826",
            "fax_number": "325-646-3992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Early Blvd",
            "address_purpose": "LOCATION",
            "city": "Early",
            "state": "TX",
            "postal_code": "768022120",
            "country_code": "US",
            "telephone_number": "325-643-1826",
            "fax_number": "325-646-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDER",
        "first_name": "BRYAN",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7822TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.