Individual provider Active NPI

Mark E Nelson, OD

  • Optometrist
  • Sherman, TX
National Provider Identifier
1710212022
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7389T Issued in TX
Practice address
3333 S Highway 75
Sherman, TX 75090-9377
Phone
(903) 487-0550
Fax
(903) 813-0375
NPI assigned
Oct 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7389T TX Primary

Addresses

Primary practice location

3333 S Highway 75
Sherman, TX 75090-9377

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
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

Enrollment IDStateProvider typePAC IDDetails
I20091120000527 TX Practitioner - Optometry 2961541537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3333 N US Hwy 75
Sherman, TX 75090-2525
Phone (903) 487-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7389TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Eyecare Group, LLC Optometrist CurrentSince Oct 4, 2009 Accepting new patients

Locations

1670 W University Dr
McKinney, TX 75069
Phone (972) 548-2633

3333 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0550

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1710212022",
    "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 S HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750909377",
            "telephone_number": "903-487-0550",
            "fax_number": "903-813-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "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

Verify at the official NPI Registry.