Individual provider Active NPI

Noah Daniel Neiman, O.D.

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1174811210
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7816T Issued in TX
Practice address
925 Starwood Dr
Cedar Park, TX 78613-9099
Phone
(512) 327-7000
Fax
(512) 259-3802
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7816T TX Primary

Addresses

Primary practice location

925 Starwood Dr
Cedar Park, TX 78613-9099

Mailing address

5717 Balcones Dr
Austin, TX 78731-4203
Phone (512) 327-7000

Other identifiers 1

IdentifierTypeStateIssuer
2859357-01MedicaidTX

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
I20110907001211 TX Practitioner - Optometry 3072783737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poole Eye AssociatesGroup PAC ID 2769548684, 3 clinicians
Westlake Eye Associates PLLCGroup PAC ID 7810165743, 2 clinicians

Practice addresses (Care Compare)

1008 Falls Pkwy
Marble Falls, TX 78654-4630
Phone (830) 693-3292

3300 Bee Caves Rd
Suite 395
West Lake Hills, TX 78746-6770
Phone (512) 327-3130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7816TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Eye Associates PLLC Optometrist CurrentSince Jan 29, 2020 Accepting new patients
Texan Eye, PA Optometrist Past Accepting new patients
Eye Clinic of Austin PLLC Optometrist Past Accepting new patients

Locations

3300 Bee Caves Rd
Ste 395
West Lake Hills, TX 78746
Phone (512) 327-3130

Organizations & group practices 4

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1174811210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314203",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 STARWOOD DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139099",
            "telephone_number": "512-327-7000",
            "fax_number": "512-259-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMAN",
        "first_name": "NOAH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7816T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2859357-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.