MEDICARE: OPTOMETRIC ASSOCIATES OF TEXAS P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2356TG	TX

General Provider Information

NPI Number	:	1043222888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTOMETRIC ASSOCIATES OF TEXAS P.A.

Provider Business Mailing Address
First Line	:	1906 ROCKBROOK DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-6616
Country	:	US
Telephone Number	:	512-927-6947
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 S COOPER ST STE 2310
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-4148
Country	:	US
Telephone Number	:	817-466-9211
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DR. DANIEL JUEL BRINCHMAN
Credential	:
Telephone Number	:	512-927-6947

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	09/25/2025

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