Individual provider Active NPI

Braydon Earl Spicer, OD,

  • Optometrist
  • Houston, TX
National Provider Identifier
1780106427
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9149T Issued in TX
Practice address
4899 Griggs Rd
Houston, TX 77021-2855
Phone
(713) 748-5000
Fax
(713) 748-8707
NPI assigned
Jul 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9149T TX Primary

Addresses

Primary practice location

4899 Griggs Rd
Houston, TX 77021-2855

Mailing address

4899 Griggs Rd
Houston, TX 77021-2855
Phone (713) 748-5000

Other names 1

  • Dr. Braydon Earl Spicer Professional name

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
I20170807002316 TX Practitioner - Optometry 4183995392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

9802 FM 1960 Bypass W
Suite 110 Mann Eye Inst
Humble, TX 77338-3572
Phone (832) 412-1233

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9149TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center, PA Optometrist Current Accepting new patients
Mann Eye Center Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Mann Eye Center, P.a. Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Mann Eye Center, PA Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients
Vielma Vision Eyecare Optometrist PastSince Nov 9, 2018 Accepting new patients

Locations

18850 S Memorial Dr
Humble, TX 77338
Phone (281) 446-7900

9802 FM 1960 Bypass Rd W
Ste 110
Humble, TX 77338
Phone (281) 446-2514

2616 FM 2920 Rd
Ste I
Spring, TX 77388
Phone (281) 353-8300

1501 Lake Robbins Dr
Ste 130
The Woodlands, TX 77380

14079 FM 2920 Rd
Tomball, TX 77377
Phone (346) 701-4035

Interoperability endpoints

  • Direct secure messaging: bspicer@manneye.emadirect.md

Organizations & group practices 6

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780106427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212855",
            "telephone_number": "713-748-5000",
            "fax_number": "713-748-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4899 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212855",
            "telephone_number": "713-748-5000",
            "fax_number": "713-748-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "BRAYDON",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "OD,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9149T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAYDON",
            "last_name": "SPICER",
            "middle_name": "EARL",
            "prefix": "DR.",
            "credential": "OD.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.