Organization Active NPI

Nelson Eyecare Group, LLC

  • Optometrist
  • Sherman, TX
National Provider Identifier
1639302821
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7389T Issued in TX
Legal business name
NELSON EYECARE GROUP, LLC
Practice address
3333 N US Highway 75
Sherman, TX 75090-2525
Phone
(903) 487-0550
NPI assigned
Sep 3, 2009
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Dr. Mark E Nelson, O.D.NPI 1710212022
Title
Sole Member
Phone
(903) 487-0550

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
Optometrist 152W00000X 7389T TX Primary

Addresses

Primary practice location

3333 N US Highway 75
Sherman, TX 75090-2525

Mailing address

8401 Memorial LN
Apt. 4307
Plano, TX 75024-2285
Phone (501) 779-5728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091123000080 TX Part B Supplier - Clinic/Group Practice 6901945401 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman, TX; McKinney, TX

National Provider Directory

National Provider Directory

Locations

2605 Preston Rd
Frisco, TX 75034
Phone (972) 731-3468

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1639302821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MEMORIAL LN",
            "address_2": "APT. 4307",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242285",
            "telephone_number": "501-779-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N US HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902525",
            "telephone_number": "903-487-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON EYECARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "903-487-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7389T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.