Active NPI
Nicole Stark Brassell, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1366425589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 05713TG
- Practice address
- 10130 Louetta Rd.
B
Houston, TX 77070-2116 - Phone
- (713) 459-2278
- Fax
- (281) 897-9026
- NPI assigned
- Nov 22, 2005
- Last updated
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 05713TG | TX | Primary |
Addresses
Primary practice location
10130 Louetta Rd.
B
Houston, TX 77070-2116
Mailing address
11607 Canyon Woods Dr
Tomball, TX 77377-7646
Phone (713) 459-2278
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10130 Louetta Rd
Suite B
Houston, TX 77070-2118
Phone (281) 251-8133
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05713TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole S. Brassell O.D. P. C. | Optometrist | Current | Accepting new patients |
Locations
10130 Louetta Rd
Ste B
Houston, TX 77070
Phone (281) 251-8133
Organizations & group practices 1
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": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1366425589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11607 CANYON WOODS DR",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773777646",
"telephone_number": "713-459-2278",
"fax_number": "281-251-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 LOUETTA RD.",
"address_2": "B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770702116",
"telephone_number": "713-459-2278",
"fax_number": "281-897-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASSELL",
"first_name": "NICOLE",
"middle_name": "STARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "05713TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.