Individual provider Active NPI

Nimisha Patel, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1114331691
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8479TG Issued in TX
Practice address
6035 Airline Dr Ste 2
Houston, TX 77076-4224
Phone
(281) 849-4844
Fax
(281) 849-4866
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8479TG TX Primary

Addresses

Primary practice location

6035 Airline Dr Ste 2
Houston, TX 77076-4224

Mailing address

6035 Airline Dr Ste 2
Houston, TX 77076-4224
Phone (281) 849-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201000050 TX Practitioner - Optometry 7113233057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6035 Airline Dr
Suite 2
Houston, TX 77076-4224
Phone (281) 849-4844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Experts Inc Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Flamingo Falls Eye Care Optometrist PastSince Aug 3, 2010 Accepting new patients
Jaime a. Balaguer, Jr., O.D., PA Optometrist Past Accepting new patients

Locations

6035 Airline Dr
Ste 2
Houston, TX 77076
Phone (281) 849-4844

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1114331691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 AIRLINE DR STE 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764224",
            "telephone_number": "281-849-4844",
            "fax_number": "281-849-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 AIRLINE DR STE 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764224",
            "telephone_number": "281-849-4844",
            "fax_number": "281-849-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIMISHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8479TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.