Brandon Guillory OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7744TG Issued in TX

Legal business name

BRANDON GUILLORY OD

Practice address

2654 Highway 36 S
Brenham, TX 77833-9600

Phone

(979) 836-1077

Fax

(979) 830-1573

NPI assigned

Jul 5, 2012

Last updated

May 8, 2014By 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

John Brandon Guillory, O.D.NPI 1508153990

Title

Owner/Optometrist

Phone

(713) 906-1680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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.

• John Brandon Guillory, O.D.

  • Optometrist
  • Brenham, TX
  • NPI 1508153990
  Medicare reassignment Authorized official
• Brittany Bruton, O.D.

  • Optometrist
  • Bryan, TX
  • NPI 1477841351
  NPD

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1932464906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SPRINGWOOD DR",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778336066",
            "telephone_number": "713-906-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 HIGHWAY 36 S",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778339600",
            "telephone_number": "979-836-1077",
            "fax_number": "979-830-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON GUILLORY OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "713-906-1680",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7744TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.