Individual
JAMES WARREN BRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1721 KNICKERBOCKER RD, SAN ANGELO, TX 76904-5521
(325) 944-8531
(325) 944-4213
Mailing address
1721 KNICKERBOCKER RD, SAN ANGELO, TX 76904-5521
(325) 944-8531
(325) 944-4213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
05712TG
TX
152WC0802X
Corneal and Contact Management Optometrist
05712TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
05712TG
TX
152WP0200X
Pediatric Optometrist
05712TG
TX
152WS0006X
Sports Vision Optometrist
05712TG
TX
152WV0400X
Vision Therapy Optometrist
05712TG
VT
152WX0102X
Occupational Vision Optometrist
Primary
05712TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80301Q
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/26/2006
Last updated
09/11/2025
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