Brian Michael Celico, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3455TG Issued in TX

Practice address

7150 Greenville Ave
Suite 305
Dallas, TX 75231-5185

Phone

(214) 265-1111

Fax

(214) 265-1189

NPI assigned

Nov 18, 2005

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

Southern College of Optometry, 1985

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 and National Provider Directory roles.

• Brian M. Celico, OD PA

  • Optometrist
  • Dallas, TX
  • NPI 1134392293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1790767309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 GREENVILLE AVE",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315185",
            "telephone_number": "214-265-1111",
            "fax_number": "214-265-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 GREENVILLE AVE",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315185",
            "telephone_number": "214-265-1111",
            "fax_number": "214-265-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELICO",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3455TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019461501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raul Fernando Cejudo, M.D.
• Celebrity Dental & Orthodontics PLLC
• Celebrity Dental PC
• Joanne M. Celenza, PA-C
• Celestial Anesthesia, PLLC
• Scott Alan Celinski, M.D.
• Danielle Alexandra Cellura, MA, BCBA, LBA
• Alex Paul Celmer, MD
• Censeo Health LLC
• Censeohealth TX Essential Care Partners

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.