Tyson J. Brunstetter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10157 Issued in TX

Practice address

2101 Nasa Pkwy BLDG 45S
Houston, TX 77058-3696

Phone

(281) 792-7705

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1922086396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NASA PKWY BLDG 45",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583607",
            "telephone_number": "281-792-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NASA PKWY BLDG 45S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583696",
            "telephone_number": "281-792-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSTETTER",
        "first_name": "TYSON",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10157",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.4824-THER",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiante Bruno, COTA
• Morgan Leigh Bruno, APN-C
• Crystal Brunson, M.S., CCC-SLP
• Phillip Brandon Brunson, OD
• Wallace Edward Brunson Jr., DDS
• Nika Elizabeth Brusatori, M.D.
• Brush Dental Joon Sevices PLLC
• Brushman'S Pharmacy
• Marla Antoneil Bruton, CRNA
• Claudia Bruzon Alfonso

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.