Brian Keith Nichols, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

5439TG Issued in TX

Practice address

2001 W Ferguson Rd
Suite 2020
Mt Pleasant, TX 75455-2925

Phone

(903) 572-1991

Fax

(903) 572-4718

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

University of Houston - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Longview Eye Associates PAGroup PAC ID 5294832986, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Longview Eye Associates. PA

  • Optometrist
  • Longview, TX
  • NPI 1790799773
  Medicare reassignment Care Compare group NPD
• Mt Pleasant Eye Care Center PA

  • Optometrist
  • Mt Pleasant, TX
  • NPI 1881842367

  Corneal and Contact Management

  Medicare reassignment NPD Authorized official
• Ward Eye Associates PC

  • Optometrist
  • Marshall, TX
  • NPI 1184208134
  Medicare reassignment NPD

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1700840840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W FERGUSON RD",
            "address_2": "SUITE 2020",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552925",
            "telephone_number": "903-572-1991",
            "fax_number": "903-572-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W FERGUSON RD",
            "address_2": "SUITE 2020",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552925",
            "telephone_number": "903-572-1991",
            "fax_number": "903-572-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5439TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199333901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• My Infant Needs,Inc
• Kimberly Najera
• David Thomas Narens Sr.
• NE Texas Interventional Medicine, PA
• Nexion Health at Mount Pleasant Inc.
• Abril Noriega, OTR
• Colbie Cross Norment, PA
• Northeast Texas Community College Dental Hygiene Clinic
• Northeast Texas Midwifery PLLC
• Northeast Texas Midwifery PLLC

• Corneal and Contact Management Optometrist in Mt Pleasant, TX
• Providers in Mt Pleasant, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.