Active NPI
Jeffrey M Noel, O.D.
- Corneal and Contact Management Optometrist
- Trophy Club, TX
National Provider Identifier
1568539286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 005588TG
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0191165 01 | Medicaid | TX | |
| 00E54Z | Other | TX | BCBS |
| 75-2935825 | Other | TX | UNITED HEALTH CARE |
| 9435338 | Other | TX | PHCS |
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
- 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005588TG | TX | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trophy Club Vision Care PLLC | Current | 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.
-
- Corneal and Contact Management Optometrist
- Trophy Club, TX
- NPI 1851636989
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.