Individual provider Active NPI

Jeffrey M Noel, O.D.

  • Corneal and Contact Management Optometrist
  • Trophy Club, TX
National Provider Identifier
1568539286
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
005588TG Issued in TX
Practice address
2240 E Highway 114 Ste 620
Trophy Club, TX 76262-6728
Phone
(682) 831-0999
Fax
(682) 831-0998
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 005588TG TX Primary

Addresses

Primary practice location

2240 E Highway 114 Ste 620
Trophy Club, TX 76262-6728

Mailing address

2001 E Highway 114 Ste 180
Trophy Club, TX 76262-6656
Phone (682) 831-0999

Other identifiers 4

IdentifierTypeStateIssuer
0191165 01MedicaidTX
00E54ZOtherTXBCBS
75-2935825OtherTXUNITED HEALTH CARE
9435338OtherTXPHCS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040717000396 TX Practitioner - Optometry 5395724876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2240 E Hwy 114
Suite 620
Trophy Club, TX 76262-6843
Phone (682) 831-0999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005588TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trophy Club Vision Care PLLC CurrentSince Apr 19, 2019 Accepting new patients
Trophy Club Vision Care LLP Corneal and Contact Management Past Accepting new patients

Locations

2001 E Highway 114
Ste 180
Trophy Club, TX 76262
Phone (682) 831-0999

2240 E Highway 114
Ste 620
Trophy Club, TX 76262
Phone (682) 831-0999

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1568539286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E HIGHWAY 114 STE 180",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762626656",
            "telephone_number": "682-831-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E HIGHWAY 114 STE 620",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762626728",
            "telephone_number": "682-831-0999",
            "fax_number": "682-831-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "005588TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0191165 01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00E54Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "75-2935825",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9435338",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

Verify at the official NPI Registry.