Organization Active NPI

Michael J. Niederkorn, O.D., P.a.

  • Optometrist
  • Allen, TX
National Provider Identifier
1659776706
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5266TG Issued in TX
Legal business name
MICHAEL J. NIEDERKORN, O.D., P.A.
Practice address
190 E Stacy Rd Ste 204
Allen, TX 75002-1121
Phone
(972) 678-4574
Fax
(972) 678-1605
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Dr. Michael John Niederkorn, O.D.
Title
President
Phone
(972) 423-4435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5266TG TX Primary

Addresses

Primary practice location

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

Mailing address

190 E Stacy Rd Ste 204
Allen, TX 75002-1121
Phone (972) 678-4574

National Provider Directory

National Provider Directory

Locations

190 E Stacy Rd
Ste 204B
Allen, TX 75002
Phone (972) 678-4574

190 E Stacy Rd
Ste 204
Allen, TX 75002
Phone (972) 678-1610

810 N Central Expy
Ste 104B
Plano, TX 75074
Phone (972) 423-4435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1659776706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "MICHAEL J. NIEDERKORN, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "NIEDERKORN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-423-4435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5266TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • 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.