Organization Active NPI

Brazos Eye Care LLC

  • Optometrist
  • Lake Jackson, TX
National Provider Identifier
1770129827
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRAZOS EYE CARE LLC
Practice address
100 Highway 332 W Ste 1242
Lake Jackson, TX 77566-4037
Phone
(979) 480-0815
Fax
(979) 480-0849
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Kayla Stokes
Title
OD
Phone
(979) 480-0815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 Highway 332 W Ste 1242
Lake Jackson, TX 77566-4037

Mailing address

100 Highway 332 W Ste 1242
Lake Jackson, TX 77566-4037
Phone (979) 480-0815

National Provider Directory

National Provider Directory

Locations

100 Highway 332 W
Ste 1242
Lake Jackson, TX 77566
Phone (979) 480-0815

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1770129827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 332 W STE 1242",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664037",
            "telephone_number": "979-480-0815",
            "fax_number": "979-480-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 332 W STE 1242",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664037",
            "telephone_number": "979-480-0815",
            "fax_number": "979-480-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "979-480-0815"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.