Midway Eye Associates

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

6060TG Issued in TX

Legal business name

MIDWAY EYE ASSOCIATES

Practice address

3405 Midway Rd
Suite 421
Plano, TX 75093-8138

Phone

(972) 801-2727

Fax

(972) 943-3485

NPI assigned

Nov 5, 2007

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Ann Broussard, O.D.

Title

Optometrist

Phone

(972) 801-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1780864066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 MIDWAY RD",
            "address_2": "SUITE 421",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938138",
            "telephone_number": "972-801-2727",
            "fax_number": "972-943-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 MIDWAY RD",
            "address_2": "SUITE 421",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938138",
            "telephone_number": "972-801-2727",
            "fax_number": "972-943-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "972-801-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6060TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0081FB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micky Ahluwalia MD
• Microsurgery Spine and Pain Institute
• Mid-South Medical Management LLC
• Janet May Mida, RNC, WHNP
• Gary Randall Middleton II, D.D.S.
• Vivian Uyen Mielcarek, DDS
• Margaret Louise Miesch, M.D
• Stanley Wayne Might, CRNA
• Marcy Marie Mignardi, OTR
• Luis A Mignucci, MD

• Corneal and Contact Management Optometrist in Plano, TX
• Providers in Plano, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.