JEREMY KYLE BRUEGGEMANN (NPI# 1811224132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811224132 |
| Entity Type | Individual |
| Full Name | JEREMY KYLE BRUEGGEMANN |
| Credential | O.D. |
| Practice Address |
1000 E 41st St 406 Austin TX 78751-4810 |
| Mailing Address |
7316 Cave Holw Austin TX 78750-8243 |
| Practice Telephone | 4696931426 |
| Practice Fax Number | 5124500421 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2011-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7467TG | TX | Eye and Vision Services Providers |
| Street Address |
1000 E 41ST ST 406 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78751-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080041 | Luis E. Ortiz-quiles | Dentist | 1000 E 41st St, Suite 230, Austin, TX 78751-4810 | 2006-02-03 |
| 1487266987 | Eseer Al Rukabi | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2020-08-18 |
| 1861032211 | Adrienne Acosta | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2020-01-14 |
| 1699255547 | Joseph Maa | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2018-08-20 |
| 1316462567 | Julie Elizabeth Gould | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2017-08-09 |
| 1689107591 | Sana Sami Sankari | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2017-04-07 |
| 1700329760 | Brian Russell Gore | Chiropractor | 1000 E 41st St, #915, Austin, TX 78751-4808 | 2016-11-23 |
| 1720532815 | Marie Tillema | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2016-08-07 |
| 1851745020 | National Vision, Inc. | Technician/Technologist | 1000 E 41st St, Ste 710, Austin, TX 78751-4810 | 2016-04-14 |
| 1205297892 | Simonek Vision | Optometrist | 1000 E 41st St, Suite 120, Austin, TX 78751-4810 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657867 | Joy Miller | Social Worker | 4920 N Ih 35 Suite 110, Austin, TX 78751 | 2017-09-04 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1316390438 | Hillary Guest | Speech-Language Pathologist | 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 | 2016-07-14 |
| 1891151866 | Simonek Vision, Pllc | Optometrist | 1000 E. 41st Street, Suite 120, Austin, TX 78751 | 2016-01-06 |
| 1750771911 | Angela Ziskis | Psychologist | 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 | 2015-01-27 |
| 1750783841 | Lizette Araujo | Psychologist | 5225 North Lamar Blvd., Austin, TX 78751 | 2014-09-19 |
| 1013323724 | Matrix Therapy, LLC | Clinic/Center | 5204 Avenue F, Austin, TX 78751 | 2014-07-02 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1619259934 | Samir K Momin | Dentist | 1000 E 41st Street, Suite 230, Austin, TX 78751 | 2011-09-13 |
| 1467740753 | Gary G. Plakias | Technician, Other | 5400 N Lamar Blvd, 206b, Austin, TX 78751 | 2011-07-20 |
| Find all providers in zip 78751 | ||||
| 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 |
|---|---|---|---|---|
| 1992311880 | Eyecare of Austin, Pllc | Optometrist | 5621 N Interstate 35, Austin, TX 78723-2431 | 2020-09-16 |
| 1487266748 | Norin Ali | Optometrist | 1801 E 51st St Ste 360, Austin, TX 78723-3468 | 2020-08-18 |
| 1497366462 | Valeria Elizabeth Solis | Optometrist | 360 Nueces St Ste 70, Austin, TX 78701-4469 | 2020-08-13 |
| 1093324493 | Tien Pham | Optometrist | 1216 Dexford Dr, Austin, TX 78753-1602 | 2020-07-31 |
| 1073121463 | Vy Nguyen | Optometrist | 2205 N Shields Dr, Austin, TX 78727-4367 | 2020-07-21 |
| 1689297210 | Kayla Smith | Optometrist | 6836 Bee Caves Rd # 100, Austin, TX 78746-5059 | 2020-05-18 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1336792332 | Jimmy Yuan | Optometrist | 4825 Davis Ln Apt 538, Austin, TX 78749-4556 | 2019-07-18 |
| 1912567876 | Matheus M Ozbek | Optometrist | 2901 S Capital of Texas Hwy Ste F7, Austin, TX 78746-8118 | 2019-06-13 |
| 1073179891 | Tammy Phuong Nguyen | Optometrist | 5501 N Interstate 35 Ste B, Austin, TX 78723-2563 | 2019-05-16 |
| Find all providers in AUSTIN | ||||
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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.