EDWARD PAUL BRANDENBURG (NPI# 1396844106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396844106 |
| Entity Type | Individual |
| Full Name | EDWARD PAUL BRANDENBURG |
| Credential | OD |
| Practice Address |
1200 W 15th Ave Amarillo TX 79102 |
| Practice Telephone | 8063798384 |
| Practice Fax Number | 8063798430 |
| Mailing Telephone | 8063798384 |
| Mailing Fax Number | 8063798430 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TX3452TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | E70F | 01 |
| Street Address |
1200 W 15TH AVE |
| City | AMARILLO |
| State | TX |
| Zip Code | 79102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396144416 | Tricia Loucks | Physical Therapy Assistant | 1619 S Kentucky St. F600, Amarillo, TX 79102 | 2014-08-14 |
| 1114238516 | Nicholas Allen Shields | Physical Therapist | 1619 South Kentucky St., Amarillo, TX 79102 | 2010-06-30 |
| 1093904872 | American Current Care P.a. | Clinic/Center | 1619 S Kentucky, Suite F-600, Amarillo, TX 79102 | 2007-10-17 |
| 1104950666 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1619 S. Kentucky, Suite F-600, Amarillo, TX 79102 | 2007-03-15 |
| 1942375191 | Djk Home Healthcare, LLC | Nursing Care | 1612 S Van Buren St, Amarillo, TX 79102 | 2006-11-22 |
| 1821171422 | Patricia Ann Trimble | Counselor | 1721 S Tyler, Amarillo, TX 79102 | 2006-10-24 |
| 1922102334 | Suzanne S Brent | Psychologist | 1616 S Kentucky, C-200, Amarillo, TX 79102 | 2006-09-08 |
| 1841309689 | Wilbert Jackson Newton | Counselor | 1806 S. Harrison, Amarillo, TX 79102 | 2006-08-29 |
| 1073510061 | Victor Vern Hands | Surgery | 2001 Julian Blvd., Amarillo, TX 79102 | 2005-07-05 |
| 1629590161 | Deni Berry | Nurse Practitioner | 1616 S Kentucky St Ste B100, Amarillo, TX 79102 | 2017-07-15 |
| Find all providers in zip 79102 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933489 | Ki Hargis | Optometrist | 1900 S Coulter St Ste I, Amarillo, TX 79106-1751 | 2019-07-02 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| 1225492242 | Kyra L. Ferrigan, O.d. Pa | Optometrist | 1900 Se 34th Ave Unit 250, Amarillo, TX 79118-7782 | 2016-04-06 |
| 1700257425 | Unique Vision Care | Optometrist | 7710 Hillside Rd Ste 300, Amarillo, TX 79119-8370 | 2015-10-08 |
| 1306228242 | Kyleigh G Mckeever | Optometrist | 5311 Sw 9th Ave, Amarillo, TX 79106-4161 | 2015-06-28 |
| 1932488863 | Xpress Eyecare | Optometrist | 3630 I-40 E, Suite 300, Amarillo, TX 79103-6101 | 2011-08-09 |
| 1528356243 | Tyler Charles Smith | Optometrist | 1900 Coulter Drive, Suite I, Amarillo, TX 79106-1751 | 2011-07-15 |
| 1174811137 | Hashmi Optometry Incorporated | Optometrist | 5040 S Coulter St Apt 2302, Amarillo, TX 79119-5434 | 2011-07-12 |
| 1225340870 | Mackenzie Weir | Optometrist | 2921 I-40 W, Suite 300, Amarillo, TX 79109-1616 | 2010-07-12 |
| 1982874251 | Lee Shuwarger, Od PC | Optometrist | 3130 S Soncy Rd, Suite 500, Amarillo, TX 79124-2011 | 2008-03-03 |
| Find all providers in AMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.