Active NPI
Michael Nell PC
- Optometrist
- Conroe, TX
National Provider Identifier
1174968002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2624T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2624T | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 2624T | TX | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 2624T | TX | |
| Pediatric Optometrist | 152WP0200X | 2624T | TX | |
| Sports Vision Optometrist | 152WS0006X | 2624T | TX | |
| Vision Therapy Optometrist | 152WV0400X | 2624T | TX | |
| Occupational Vision Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Houston, TX
- NPI 1619232931
-
- Optometrist
- Conroe, TX
- NPI 1366283376
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.