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Active NPI 1104093335 Organization (Entity Type 2)

Brazos Prof. Opt.

Technician/Technologist - Optician • Bryan, TX

About Brazos Prof. Opt. NPI 1104093335 Summary

Brazos Prof. Opt. is a verified healthcare organization specializing in Technician/Technologist - Optician operating in Bryan, TX. Located at 2901 E 29TH ST STE 105, this facility provides patient care and medical services under National Provider Identifier (NPI) 1104093335.

Administrative operations and authorized compliance are overseen by Lester Prove (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2901 E 29th St Ste 105

Bryan, TX 778022691

Telephone 9797767111
Fax 9797767112

Authorized Official Information

Authorized Contact Name

MR. Lester Prove

Title / Role

Owner

Official Telephone

9797767111

Facility Classifications & Specialties

Technician/Technologist - Optician Primary Taxonomy

NUCC Taxonomy Code: 156FX1800X

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Technician/Technologist - Optician

Bryan, TX

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 29, 2008

Registered at 2901 E 29TH ST STE 105, BRYAN, TX 778022691 (Tel: 9797767111)

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Updated Business Mailing Address July 29, 2008

Registered at 2901 E 29TH ST STE 105, BRYAN, TX 778022691 (Tel: 9797767111)

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Organization / Clinic Name Updated July 29, 2008

Operating as BRAZOS PROF. OPT.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2008

Technician/Technologist

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Initial NPI Registration & Enumeration May 15, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1104093335
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 15, 2008
Last Update: July 29, 2008

Mailing Address

2901 E 29th St Ste 105

Bryan, TX 778022691

Phone: 9797767111

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.