BRAZOS PROF. OPT.
NPI 1104093335
Technician/Technologist - Optician in Bryan, TX

Q: What is Brazos Prof. Opt.'s NPI number?

The NPI number for Brazos Prof. Opt. is 1104093335. It was assigned to this organization in the NPPES registry on May 15, 2008.

Q: What is Brazos Prof. Opt.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Q: When was this NPI record last updated?

The NPPES record for Brazos Prof. Opt. was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 15, 2008

2901 E 29TH ST STE 105, BRYAN, TX 77802(979) 776-7111(979) 776-7112 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Brazos Prof. Opt. NPPES

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

BRAZOS PROF. OPT. (NPI 1104093335) is a healthcare organization registered as an optician in Bryan, Texas and active in the NPI registry since May 2008. The organization lists Lester A Prove, Owner, as its authorized official.

NPPES Registry Identity

NPI1104093335

Entity TypeOrganization

Primary Taxonomy156FX1800X

Legal Business NameBRAZOS PROF. OPT.

Location Address2901 E 29TH ST STE 105Bryan, TX 77802-2691

Mailing Address2901 E 29th St Ste 105Bryan, TX 77802-2691 · (979) 776-7111 · Fax (979) 776-7112

Phone(979) 776-7111

Fax(979) 776-7112

Organization SubpartNo

Authorized OfficialLester A ProveOwner · (979) 776-7111

Enumeration DateMay 15, 2008

Last NPPES UpdateJuly 29, 2008

✔ NPI 1104093335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers

Taxonomy Code156FX1800X

Definition

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.

2901 E 29TH ST STE 105, Bryan, TX 77802

Open in Google Maps ↗

Other Identifiers 3

Medicare NSC0916860001TX

Medicaid09779001TX

Medicare PIN0916860001TX

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

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 Prof. Opt.'s NPI number?

The NPI number for Brazos Prof. Opt. is 1104093335. It was assigned to this organization in the NPPES registry on May 15, 2008.

Where is Brazos Prof. Opt. located?

Brazos Prof. Opt. is located at 2901 E 29th St Ste 105, Bryan, TX 77802. The listed phone number is (979) 776-7111.

What is Brazos Prof. Opt.'s specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Brazos Prof. Opt. was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.