Organization Active NPI

Nicole S. Brassell O.D. P. C.

  • Optometrist
  • Houston, TX
National Provider Identifier
1386826329
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5713TG Issued in TX
Legal business name
NICOLE S. BRASSELL O.D. P. C.
Practice address
10130 Louetta Rd
Ste. B
Houston, TX 77070-2116
Phone
(281) 251-8133
Fax
(281) 251-8139
NPI assigned
Dec 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Nicole S Brassell, O.D.NPI 1366425589
Title
President
Phone
(281) 251-8133

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5713TG TX Primary

Addresses

Primary practice location

10130 Louetta Rd
Ste. B
Houston, TX 77070-2116

Mailing address

10130 Louetta Rd
Ste. B
Houston, TX 77070-2116
Phone (281) 251-8133

Other names 1

  • Brassell Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080407000506 TX Part B Supplier - Clinic/Group Practice 7618054206 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

10130 Louetta Rd
Ste B
Houston, TX 77070
Phone (281) 251-8133

Practitioners & affiliated clinicians

Practitioners 1

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": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1386826329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 LOUETTA RD",
            "address_2": "STE. B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702116",
            "telephone_number": "281-251-8133",
            "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": "STE. B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702116",
            "telephone_number": "281-251-8133",
            "fax_number": "281-251-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE S. BRASSELL O.D. P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "BRASSELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-251-8133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5713TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brassell Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 12, 2008; 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.