Active NPI
Jesse Andrew Brewster, OD
- Optometrist
- Tomball, TX
National Provider Identifier
1992298939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9253TG
- Practice address
- 14223 FM 2920 Rd Ste 100
Tomball, TX 77377-6422 - Phone
- (281) 205-2290
- NPI assigned
- Jun 13, 2018
- Last updated
- Jun 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9253TG | TX | Primary |
Addresses
Primary practice location
14223 FM 2920 Rd Ste 100
Tomball, TX 77377-6422
Mailing address
14223 FM 2920 Rd Ste 100
Tomball, TX 77377-6422
Phone (281) 205-2290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180820000988 | TX | Practitioner - Optometry | 0446509798 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9253TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tso Richmond Aliana PA | Optometrist | Past | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559952000000",
"number": "1992298939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14223 FM 2920 RD STE 100",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773776422",
"telephone_number": "281-205-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14223 FM 2920 RD STE 100",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773776422",
"telephone_number": "281-205-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "JESSE",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2019-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9253TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2019; 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.