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Brazos Prof. Opt.

NPI 1104093335ActiveOrganization· Technician/Technologist, Optician· Bryan, TX

Technician/Technologist, Optician in Bryan, Texas, registered in NPPES in May 2008. The authorized official on file is Lester A. Prove, Owner.

Overview

NPI1104093335
StatusActive
Entity typeOrganization
NPI issuedMay 15, 2008
Last updated in NPPESJul 29, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Technician/Technologist, Optician Primary156FX1800X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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