Jon Joel Nitardy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6556T Issued in TX

Practice address

1400 Lowes Blvd
Killeen, TX 76542-5201

Phone

(254) 800-6039

Fax

(254) 800-6039

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of Southeast Texas LLPGroup PAC ID 0143252536, 17 clinicians

Practice addresses (Care Compare)

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.

• Eye Centers of Southeast Texas LLP

  • Ophthalmology Physician
  • Beaumont, TX
  • NPI 1124003454
  Medicare reassignment Care Compare group NPD
• Barry J Davis & Don a Reeves PTR

  • Optometrist
  • Port Arthur, TX
  • NPI 1962528158
  NPD
• Southeast Texas Eye Specialists, PLLC

  • Eyewear Supplier
  • Beaumont, TX
  • NPI 1114902442
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1720064579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LOWES BLVD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425201",
            "telephone_number": "254-800-6039",
            "fax_number": "254-800-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOWES BLVD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425201",
            "telephone_number": "254-800-6039",
            "fax_number": "254-800-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITARDY",
        "first_name": "JON",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6556T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Nickel, MS, PT
• Sarah B Nickerson, M.D.
• Angalena Nield
• Kristina Nielsen
• Nightingale Nursing PLLC
• Ashley Irma Njalle, AU.D.
• Catherine Ijeoma Nnadozie
• Christopher Richard Norelli, PA-C
• Brittany Norman
• Benjamin Walter Norris, HEARING AID DISPENSE

• Optometrist in Killeen, TX
• Providers in Killeen, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.