Organization Active NPI

Michael Nell PC

  • Optometrist
  • Conroe, TX
National Provider Identifier
1174968002
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2624T Issued in TX
Legal business name
MICHAEL NELL PC
Practice address
1148 W Dallas St
Conroe, TX 77301-2208
Phone
(936) 756-8612
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Micael Nell, O.D.
Title
Owner
Phone
(936) 756-8612

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2624T TX Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 2624T TX
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X 2624T TX
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 2624T TX
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X 2624T TX
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X 2624T TX
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X 2624T TX

Addresses

Primary practice location

1148 W Dallas St
Conroe, TX 77301-2208

Mailing address

1148 W Dallas St
Conroe, TX 77301-2208
Phone (936) 756-8612

Other names 1

  • Texas State Optical Doing business as

National Provider Directory

National Provider Directory

Locations

1148 W Dallas St
Conroe, TX 77301
Phone (936) 202-3465

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1174968002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 W DALLAS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012208",
            "telephone_number": "936-756-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W DALLAS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012208",
            "telephone_number": "936-756-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL NELL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "NELL",
        "authorized_official_first_name": "MICAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-756-8612",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2624T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2624T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "2624T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "2624T",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "2624T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "2624T",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "2624T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.