Brazosport Professional Eye Clinic INC
About this NPIWhat this record shows.
NPI 1073607370 is registered to Brazosport Professional Eye Clinic INC, a healthcare organisation classified as "Optometrist" and located at 123 Circle Way in Lake Jackson, Texas. The organisation's authorised official is Mark Provenzano. The organisation has been enumerated in the NPI registry since 2006.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 0195042TX
Other
- 80775QTX· Issued by BCBS OF TX
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20080411000168Clinic/Group PracticeTX
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Brazosport Professional Eye Clinic INC accepts. To confirm in-network status with your specific health plan, contact Brazosport Professional Eye Clinic INC directly at (979) 299-3250.
Frequently asked
Yes. NPI 1073607370 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (979) 299-3250.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Brazosport Professional Eye Clinic INC is a Type-2 organisational NPI.