Michael Nell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2624T Issued in TX

Practice address

1148 W Dallas St
Conroe, TX 77301-2208

Phone

(936) 756-8612

Fax

(936) 756-8603

NPI assigned

Jan 16, 2007

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

Other names 1

• Dr. Michael Nell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• TV Oliver Vision PA

  dba Line Optical

  • Optometrist
  • Conroe, TX
  • NPI 1881459089
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1578614475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 W DALLAS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012208",
            "telephone_number": "936-756-8612",
            "fax_number": "936-756-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W DALLAS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012208",
            "telephone_number": "936-756-8612",
            "fax_number": "936-756-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELL",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2624T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "NELL",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexis Neef, MA,BCBA
• Barry Norman Neeland, M.D.
• Marla Neely, OTR, LPC
• Carolyn Michelle Neill
• Christopher Lynn Neill, M.D.
• Nelson Chiropractic Center LLC
• Karen Lee Nelson, PH.D.
• Ryan Elliott Nelson, DC
• Nescare Therapy and Counseling
• Network Imaging PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.