Active NPI
Nicole Noska, O.D.
- Optometrist
- Columbus, TX
National Provider Identifier
1083740278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6608TG
- Practice address
- 100 Sweetbriar Dr
Columbus, TX 78934-3008 - Phone
- (979) 732-5771
- NPI assigned
- Feb 24, 2007
- Last updated
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6608TG | TX | Primary |
Addresses
Primary practice location
100 Sweetbriar Dr
Columbus, TX 78934-3008
Mailing address
100 Sweetbriar Dr
Columbus, TX 78934-3008
Phone (979) 732-5771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216739701 | Medicaid | TX | |
| 216739702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6608TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liaqat a. Khalfe O.D., P.C | Optometrist | Past | Accepting new patients |
| Sebec Corporation | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1083740278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SWEETBRIAR DR",
"city": "COLUMBUS",
"state": "TX",
"postal_code": "789343008",
"telephone_number": "979-732-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SWEETBRIAR DR",
"city": "COLUMBUS",
"state": "TX",
"postal_code": "789343008",
"telephone_number": "979-732-5771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSKA",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6608TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216739701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216739702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.