Evelyn Break, ABO CERTIFIED
Individual provider Active NPI Optician · Azle, TX
NPI 1962323980 · NPPES record last updated Jul 24, 2026
Key facts
- NPI
- 1962323980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 52746360 (TX)
- Practice address
- 721 Boyd Rd
Azle, TX 76020-4811 - Phone
- (817) 270-5716
- NPI assigned
- Jul 24, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 52746360 | TX | Yes |
Addresses
Primary practice location
721 Boyd Rd
Azle, TX 76020-4811
Mailing address
721 Boyd Rd
Azle, TX 76020-4811
Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.