Bryan Total Vision Care
Optometrist in Bryan, TX. Organization (NPI-2).
NPI number1023265196
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1023265196
- Entity type
- Organization (NPI-2)
- Legal business name
- Bryan Total Vision Care
- Organization subpart
- No
- Enumeration date
- Aug 20, 2008
- Certification date
- Jul 26, 2024
- Last updated
- Jul 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | TX | Yes |
Practice location
2200 Briarcrest DrSte 106
Bryan, TX 77802-5001
Phone 979-774-5400 · Fax 979-731-8483
Mailing address
2200 Briarcrest DrSte 106
Bryan, TX 77802-5001
Phone 979-774-5400 · Fax 979-731-8483
Authorized official
Daniel R Vanlaningham
Vice President
9797745400
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All 16 Optometrist providers in Bryan · All 1,947 providers in Bryan
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