Organization Active NPI

Brownwood Family Eyecare, P.a.

Doing business as Commerce Square Optical

  • Optometrist
  • Brownwood, TX
National Provider Identifier
1902936834
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BROWNWOOD FAMILY EYECARE, P.A.
Doing business as
Commerce Square Optical
Practice address
401 W Commerce St Ste a
Brownwood, TX 76801-1701
Phone
(325) 643-9336
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Stephen G. Hlis, ODNPI 1811998503
Title
Ceo
Phone
(325) 643-9336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4986TG TX
Optometrist 152W00000X Primary
Corneal and Contact Management Optometrist 152WC0802X 4986TG TX
Pediatric Optometrist 152WP0200X 4986TG TX
Sports Vision Optometrist 152WS0006X 4986TG TX
Occupational Vision Optometrist 152WX0102X 4986TG TX

Addresses

Primary practice location

401 W Commerce St Ste a
Brownwood, TX 76801-1701

Mailing address

PO Box 1915
Brownwood, TX 76804-1915

Other identifiers 1

IdentifierTypeStateIssuer
MH0266076OtherDEA

Other names 1

  • COMMERCE SQUARE OPTICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100211000734 TX Part B Supplier - Clinic/Group Practice 4183767262 Receives reassigned benefits from 1 practitioner
Practice locations: Brownwood, TX

National Provider Directory

National Provider Directory

Locations

401 W Commerce St
#A
Brownwood, TX 76801
Phone (325) 643-6252

537 W Commerce St
Brownwood, TX 76801
Phone (325) 643-9336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1902936834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1915",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768041915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W COMMERCE ST STE A",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768011701",
            "telephone_number": "325-643-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNWOOD FAMILY EYECARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "HLIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-643-9336",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4986TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "4986TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "4986TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "4986TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "4986TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "MH0266076",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMERCE SQUARE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.