Nellya Gendelman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8198T Issued in TX

Practice address

1301 W Glade Rd
Ste 196
Euless, TX 76039-5418

Phone

(817) 685-7011

Fax

(817) 685-7211

NPI assigned

Jun 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Vision Group PLLC

  • Optometrist
  • Euless, TX
  • NPI 1659701258
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1265871933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W GLADE RD",
            "address_2": "STE 196",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395418",
            "telephone_number": "817-685-7011",
            "fax_number": "817-685-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W GLADE RD",
            "address_2": "STE 196",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395418",
            "telephone_number": "817-685-7011",
            "fax_number": "817-685-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDELMAN",
        "first_name": "NELLYA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8198T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trishawna Gailes, MA, LPC-A
• Shari Gantz
• Lorena Garcia, PT
• Nancy Beth Gardner, RNFA
• Angelique Marie Gaylord, LVN
• Generational Therapy PLLC
• Patricia Evelyn Geymer, NP
• Navneet K Gill, MD
• Hannah Makenzie Gillispie
• Glade Modern Dentistry and Orthodontics, PC

• Optometrist in Euless, TX
• Providers in Euless, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.