Organization Active NPI

True Eye Center of Keller, PLLC

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1275326811
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TRUE EYE CENTER OF KELLER, PLLC
Practice address
5510 114TH St Ste 100
Lubbock, TX 79424-2179
Phone
(806) 793-3309
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Shabree Nichols-CalebNPI 1700294949
Title
Owner
Phone
(817) 428-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

5510 114TH St Ste 100
Lubbock, TX 79424-2179

Mailing address

4909 Golden Triangle Blvd Ste 211
Fort Worth, TX 76244-4669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221003000079 TX Part B Supplier - Clinic/Group Practice 3577949379 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Worth, TX; Lubbock, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ensight Vision LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5510 114th St
Ste 100
Lubbock, TX 79424
Phone (806) 793-1997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1275326811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 GOLDEN TRIANGLE BLVD STE 211",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 114TH ST STE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242179",
            "telephone_number": "806-793-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE EYE CENTER OF KELLER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "NICHOLS-CALEB",
        "authorized_official_first_name": "SHABREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-428-4488"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.