Nicki a. Wall PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

04000TG Issued in TX

Legal business name

NICKI A. WALL PC

Practice address

3600 Gulf Fwy
Suite a
Dickinson, TX 77539-4123

Phone

(281) 534-2020

Fax

(281) 614-0335

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicki A. Wall, O.D.

Title

Doctor of Optometry

Phone

(281) 534-2020

Specialties & licenses 1

Addresses

Other names 1

• Today's Vision Dickinson Doing business as

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1750391561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GULF FWY",
            "address_2": "SUITE A",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394123",
            "telephone_number": "281-534-2020",
            "fax_number": "281-614-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GULF FWY",
            "address_2": "SUITE A",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394123",
            "telephone_number": "281-534-2020",
            "fax_number": "281-614-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKI A. WALL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "NICKI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "281-534-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04000TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Vision Dickinson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.