BRAZOSPORT EYE FACILITY INC. NPI 1396870028

NPI Information

  • NPI: 1396870028
  • Provider Name: BRAZOSPORT EYE FACILITY, INC.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: BRAZOSPORT EYE INSTITUTE
  • Address: 103 PARKING WAY ST
    LAKE JACKSON, TX
    ZIP 77566
  • Phone: (979) 297-2961

Map and Directions

Get Directions

NPI Details

BRAZOSPORT EYE FACILITY, INC. is an ambulatory surgical clinic center in Lake Jackson, TX. BRAZOSPORT EYE FACILITY, INC. NPI is 1396870028. The provider is registered as an organization entity type.
The provider Is Doing Business As Brazosport Eye Institute.

The provider's business location address is:

103 PARKING WAY ST
LAKE JACKSON, TX
ZIP 77566-228
Phone: (979) 297-2961
Fax: (979) 297-2395

The provider's authorized official is Donna Grady .
The authorized official title is Administrator and has the following contact phone number (979) 297-2961.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bimatoprost, intracameral implant, 1 microgram (HCPCS:J7351)
  • Injection of medication into eye (HCPCS:66030)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical157TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1451058MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2085885401MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI