Brazosport Eye Institute

LBN: Brazosport Eye Facility, Inc.
Brazosport Eye Institute is an health care organization with primary practice located at 103 Parking Way St , Lake Jackson TX 77566-5228. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Brazosport Eye Facility, Inc. can be contacted via phone (979) 297-2961, or through Grady, Donna via phone (979) 297-2961.

Contact Information

Primary practice address
103 Parking Way St Lake Jackson TX 77566-5228
Phone: (979) 297-2961
Fax: (979) 297-2395
Website:
Map and Directions
Authorized official contact:
Name: Grady, Donna
Phone: (979) 297-2961

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 157 Texas

Profile Details

NPI number 1396870028
LBN Legal business name Brazosport Eye Facility, Inc.
DBA Doing business as Brazosport Eye Institute
Authorized official Grady, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 10th, 2010 - about 14 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 1396870028 NPPES
Texas MEDICAID 085885401

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