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Deactivated NPI 1629309471 Deactivated / Inactive NPI Male Practitioner

Michael Alan Bronaugh

Technician/Technologist - Optician • Lufkin, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Bronaugh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 19, 2010
NPI Deactivation Date September 10, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Michael Bronaugh was a registered Technician/Technologist - Optician practicing in Lufkin, TX. Throughout an active medical career spanning 11 years, Michael Bronaugh provided care at the practice location at 1607 W FRANK AVE until profile deactivation on 2021-09-10.

Practice Location & Contact Primary Location

Practice Address

1607 W Frank Ave
Suite 109

Lufkin, TX 759043103

Telephone 9366321010
Associated Practice Facility / Clinic
🏢 Bronaugh Opticians Facility NPI 1417207069

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Lufkin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Lufkin, TX (311 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License TX 031838

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Charda Bronaugh , OPTICIAN

Technician/Technologist - Optician

NPI 1114976420

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 10, 2021

Record deactivated on September 10, 2021

NPI Profile Active January 19, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 19, 2010

Registered at 1607 W FRANK AVE, SUITE 109, LUFKIN, TX 759043103 (Tel: 9366321010)

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Updated Business Mailing Address January 19, 2010

Registered at 1607 W FRANK AVE, SUITE 109, LUFKIN, TX 759043103 (Tel: 9366321010)

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Provider Name / Credentials Updated January 19, 2010

Recorded as MICHAEL BRONAUGH

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2010

Technician/Technologist (License #031838 in TX)

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Initial NPI Registration & Enumeration January 19, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629309471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2010
Last Update: January 19, 2010
Deactivation Date: September 10, 2021

Mailing Address

1607 W Frank Ave, Suite 109

Lufkin, TX 759043103

Phone: 9366321010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.