Brazos Prof. Opt.

LBN: Brazos Prof. Opt.
Brazos Prof. Opt. is an health care organization with primary practice located at 2901 E 29Th St Ste 105 , Bryan TX 77802-2691. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Brazos Prof. Opt. can be contacted via phone (979) 776-7111, or through Prove, Lester A via phone (979) 776-7111.

Contact Information

Primary practice address
2901 E 29Th St Ste 105 Bryan TX 77802-2691
Phone: (979) 776-7111
Fax: (979) 776-7112
Website:
Map and Directions
Authorized official contact:
Name: Prove, Lester A
Phone: (979) 776-7111

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1104093335
LBN Legal business name Brazos Prof. Opt.
DBA Doing business as
Authorized official Prove, Lester A
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated Jul 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104093335 NPPES
Texas MEDICAID 09779001

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