Provider Demographics
NPI:1417970047
Name:WRIGHT, JOHN BRITTON (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BRITTON
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4185 TECHNOLOGY FOREST BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-2006
Mailing Address - Country:US
Mailing Address - Phone:936-297-2030
Mailing Address - Fax:281-362-5764
Practice Address - Street 1:4185 TECHNOLOGY FOREST BLVD STE 225
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-2006
Practice Address - Country:US
Practice Address - Phone:936-297-2030
Practice Address - Fax:281-362-5764
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5287TG152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX037682402Medicaid
TX0403010001Medicare NSC
TXU62502Medicare UPIN
TX82Y724Medicare ID - Type Unspecified