Individual provider Active NPI

Brian Douglas Fell, O.D.

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1831177880
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06782TG Issued in TX
Practice address
4010 Sandy Brook Dr
Ste 101
Round Rock, TX 78665-1516
Phone
(512) 388-7600
Fax
(512) 388-7601
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06782TG TX Primary

Addresses

Primary practice location

4010 Sandy Brook Dr
Ste 101
Round Rock, TX 78665-1516

Mailing address

4010 Sandy Brook Dr
Ste 101
Round Rock, TX 78665-1516
Phone (512) 388-7600

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
I20050919000765 TX Practitioner - Optometry 5991739013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Vision PAGroup PAC ID 4385781004, 2 clinicians

Practice addresses (Care Compare)

4010 Sandy Brook Dr
Round Rock, TX 78665-1517
Phone (512) 388-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06782TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Vision PA Optometrist CurrentSince Sep 29, 2009 Accepting new patients
Texan Eye, PA Optometrist Past Accepting new patients
Eye Clinic of Austin PLLC Optometrist Past Accepting new patients

Locations

4010 Sandy Brook Dr
Ste 101
Round Rock, TX 78665
Phone (512) 388-7600

Organizations & group practices 3

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1831177880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR",
            "address_2": "STE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651516",
            "telephone_number": "512-388-7600",
            "fax_number": "512-388-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR",
            "address_2": "STE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651516",
            "telephone_number": "512-388-7600",
            "fax_number": "512-388-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELL",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06782TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.