BRAZOS VALLEY EYE PHYSICIANS PA
NPI 1063475911
Specialist in Waco, TX

Active since April 11, 2006
5002 LAKELAND CIR STE A, WACO, TX 76710(254) 752-2571(254) 752-0699 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brazos Valley Eye Physicians Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAZOS VALLEY EYE PHYSICIANS PA (NPI 1063475911) is a healthcare organization registered as a specialist in Waco, Texas and active in the NPI registry since April 2006. The organization lists Scott H Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1063475911
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBRAZOS VALLEY EYE PHYSICIANS PA
Location Address5002 LAKELAND CIR STE AWaco, TX 76710-2900
Mailing Address5002 Lakeland Cir Ste AWaco, TX 76710-2900 · (254) 752-2571 · Fax (254) 752-0699
Fax(254) 752-0699
Organization SubpartNo
Authorized OfficialScott H SmithOwner · (254) 752-2571
Enumeration DateApril 11, 2006
Last NPPES UpdateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
✔ NPI 1063475911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedOphthalmologyTaxonomy 207W00000X
5002 LAKELAND CIR STE A, Waco, TX 76710

Other Identifiers 1

Medicaid154968501TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brazos Valley Eye Physicians Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040517000706Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brazos Valley Eye Physicians PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1750355442
5002 LAKELAND CIR STE A
Waco, TX 76710
(254) 752-2571
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brazos Valley Eye Physicians PA's NPI number?

The NPI number for Brazos Valley Eye Physicians PA is 1063475911. It was assigned to this organization in the NPPES registry on April 11, 2006.

Where is Brazos Valley Eye Physicians PA located?

Brazos Valley Eye Physicians PA is located at 5002 Lakeland Cir Ste A, Waco, TX 76710. The listed phone number is (254) 752-2571.

What is Brazos Valley Eye Physicians PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Brazos Valley Eye Physicians PA enrolled in Medicare?

Yes. Brazos Valley Eye Physicians PA is registered in the Medicare PECOS enrollment system.

When is Brazos Valley Eye Physicians PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Brazos Valley Eye Physicians PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Brazos Valley Eye Physicians PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brazos Valley Eye Physicians PA was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.