Organization Active NPI

Texas Regional Eye Center ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Bryan, TX
National Provider Identifier
1972675668
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008244 Issued in TX
Legal business name
TEXAS REGIONAL EYE CENTER ASC LLC
Doing business as
Texas Regional Eye Center ASC LLC
Practice address
3811 Sagebriar Dr
Bryan, TX 77802-6107
Phone
(979) 774-0498
Fax
(979) 774-7673
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Dr. William Riggs, M.D.NPI 1538193230
Title
President
Phone
(979) 774-0498

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008244 TX Primary

Addresses

Primary practice location

3811 Sagebriar Dr
Bryan, TX 77802-6107

Mailing address

3811 Sagebriar Dr
Bryan, TX 77802-6107

Other identifiers 1

IdentifierTypeStateIssuer
178028001MedicaidTX

Other names 1

  • Texas Regional Eye Center ASC LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@texasregionaleye.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051121000884 TX Part B Supplier - Ambulatory Surgical Center 5395764195 Practice locations: Bryan, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Texas Regional Eye Center ASC LLCCCN 45C0001403
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3811 Sagebriar Dr
Bryan, TX 77802
Phone (979) 774-0498

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1972675668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 SAGEBRIAR DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778026107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 SAGEBRIAR DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778026107",
            "telephone_number": "979-774-0498",
            "fax_number": "979-774-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS REGIONAL EYE CENTER ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-774-0498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178028001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@texasregionaleye.com",
            "affiliation": "N",
            "endpointDescription": "website email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3811 Sagebriar Dr",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778026107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Texas Regional Eye Center ASC LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Regional Eye Center ASC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.