Shabree Nicole Nichols-Caleb, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9289T Issued in TX

Practice address

4909 Golden Triangle Blvd Ste 211
Fort Worth, TX 76244-4480

Phone

(817) 428-4488

NPI assigned

Jul 31, 2014

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Shabree Nicole Nichols Former name

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

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True Eye Center of Keller, PLLC

  • Optometrist
  • Fort Worth, TX
  • NPI 1275182032
  Medicare reassignment NPD Authorized official
• True Eye Center of Keller, PLLC

  • Optometrist
  • Lubbock, TX
  • NPI 1275326811
  NPD Authorized official
• True Eye Center of Keller, PLLC

  dba EnSight Vision, LLC

  • Optometrist
  • Lubbock, TX
  • NPI 1477329977
  NPD (past) Authorized official

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1700294949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 GOLDEN TRIANGLE BLVD STE 211",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444480",
            "telephone_number": "817-428-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 GOLDEN TRIANGLE BLVD STE 211",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444480",
            "telephone_number": "817-428-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6064 Marsha Sharp Fwy",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794073726",
            "country_code": "US",
            "telephone_number": "806-793-3309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS-CALEB",
        "first_name": "SHABREE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2819",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9289T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHABREE",
            "last_name": "NICHOLS",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Niblick, RPH
• Brynn Niblock
• Catherine Marie Nicholas, MD
• Lynn Anderson Nicholas, P.T.
• Nichole McCloy LLC Dba Fort Worth Lactation & Tongue Tie Specialists
• Ashton Nichols, LMSW
• Blake E Nichols, M.D.
• Brandi Yvette Nichols, M.ED., LPC
• Charles Wayne Nichols Jr., PT
• Cheryl A Nichols, L.P.C.

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.

Verify at the official NPI Registry.