Mindi Greene Kavanaugh, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5828T Issued in TX

Practice address

725 E Villa Maria Rd Ste 1500
Bryan, TX 77802-5345

Phone

(979) 775-4900

Fax

(979) 775-4949

NPI assigned

Jul 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mindi Meier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1811200389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E VILLA MARIA RD STE 1500",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025345",
            "telephone_number": "979-775-4900",
            "fax_number": "979-775-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E VILLA MARIA RD STE 1500",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025345",
            "telephone_number": "979-775-4900",
            "fax_number": "979-775-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "MINDI",
        "middle_name": "GREENE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "5828T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5828T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETY LICENSE NUMBER",
            "identifier": "5828T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDI",
            "last_name": "MEIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lenora Gail Karamalegos, O.T.R.
• Adnanul Karim, M.D.
• Aaron Karp
• Charity A Karpac, MD
• Allison Brooke Katchinska
• Cheriece Kananimaeole Keawe
• Susan Deanne Kelley, M.A., CCC-SLP
• Kelly W Lobb MD PA
• Shauna Kelly, PT
• Shannon Kelsey, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.