Individual provider Active NPI

Jeffrey T Harrell, O.D

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1144298092
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3945TG Issued in TX
Practice address
1124 W Main St
Lewisville, TX 75067-3469
Phone
(972) 221-2563
Fax
(972) 219-1324
NPI assigned
Mar 8, 2006
Last updated
Aug 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3945TG TX Primary

Addresses

Primary practice location

1124 W Main St
Lewisville, TX 75067-3469

Mailing address

1124 W Main St
Lewisville, TX 75067-3469
Phone (972) 221-2563

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

LicenseStateTypeSpecialty
3945TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Eye & Optical Flower Mound PLLC Optometrist CurrentSince Dec 6, 2022 Accepting new patients

Locations

1124 W Main St
Lewisville, TX 75067
Phone (254) 964-4143

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1144298092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673469",
            "telephone_number": "972-221-2563",
            "fax_number": "972-219-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673469",
            "telephone_number": "972-221-2563",
            "fax_number": "972-219-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3945TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.