Michael John Niederkorn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5266TG Issued in TX

Practice address

190 E Stacy Rd Ste 204
Allen, TX 75002-1121

Phone

(972) 678-4574

Fax

(972) 678-1605

NPI assigned

Jul 19, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1528087681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9862 ATLANTIC LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355035",
            "telephone_number": "972-381-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E STACY RD STE 204",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021121",
            "telephone_number": "972-678-4574",
            "fax_number": "972-678-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERKORN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5266TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nguyen
• Steven Nguyen
• Jennifer Nicholson, MOT, OTR/L, CLT
• Mary Trotty Nickson, PH.D.
• Nicole C Hodge MD PA
• Michelle Holman Nietert, LPC
• Dipali Kedar Nigudkar, DMD
• Diane Nik, DDS
• Gina Rose Bathurst Nord, MD
• Nortex Medical Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.