Brenham Eye Associates PLLC
Organization Active NPI Optometrist · Brenham, TX
NPI 1962289603 · NPPES record last updated Sep 14, 2023
Key facts
- NPI
- 1962289603
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- BRENHAM EYE ASSOCIATES PLLC
- Practice address
- 2448 Becker Dr # 100
Brenham, TX 77833-5714 - Phone
- (979) 836-3597
- Fax
- (979) 277-0239
- NPI assigned
- Sep 14, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Mary Kathryn Walters, OD
- Title
- President
- Phone
- (979) 836-3597
Practitioners 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231106001662 | TX | Part B Supplier - Clinic/Group Practice | 8325495856 |
Receives reassigned benefits from 3 practitioners Practice locations: Brenham, TX |
National Provider Directory
Locations
306 E Main St
Brenham, TX 77833
Phone (979) 836-3597
2448 Becker Dr
#100
Brenham, TX 77833
Phone (979) 836-3597
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2448 Becker Dr # 100
Brenham, TX 77833-5714
Mailing address
2448 Becker Dr # 100
Brenham, TX 77833-5714
Phone (979) 836-3597
Other names
- VIEW Brenham
Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.