Active NPI
Nicole a. Mueller P.a.
Doing business as Granbury Eye Clinic
- Ophthalmology Physician
- Granbury, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NICOLE A. MUELLER P.A.
- Doing business as
- Granbury Eye Clinic
- Practice address
- 1201 Medical Plaza CT
Granbury, TX 76048-5684 - Phone
- (817) 279-9333
- Fax
- (817) 573-6234
- NPI assigned
- Jul 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nicole Alison Mueller, DO
- Title
- Owner
- Phone
- (817) 279-9333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | TX | Primary |
Addresses
Primary practice location
1201 Medical Plaza CT
Granbury, TX 76048-5684
Mailing address
1201 Medical Plaza CT
Granbury, TX 76048-5684
Phone (817) 279-9333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163065901 | Medicaid | TX |
Other names 1
- Granbury Eye Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2177609 | Nicole a Mueller, PA | Certificate of waiver | Jan 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
1201 Medical Plaza Ct
Granbury, TX 76048
Phone (817) 279-9044
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Granbury, TX
- NPI 1992703789
-
- Optometrist
- Granbury, TX
- NPI 1376064998
-
- Optometrist
- Granbury, TX
- NPI 1376696427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1861491037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 MEDICAL PLAZA CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485684",
"telephone_number": "817-279-9333",
"fax_number": "817-573-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MEDICAL PLAZA CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485684",
"telephone_number": "817-279-9333",
"fax_number": "817-573-6234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE A. MUELLER P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MUELLER",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "ALISON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-279-9333",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163065901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Granbury Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Granbury, TX
- Neuroedge Clinic PLLC
- New Horizons Red Bird (New Horizons New Horizons Sunridge New Horizons Kenshire)
- New Leaf Services, LLC
- New Life Health and Concierge LLC
- Luat Huu Nguyen, DDS
- Francisco Javier Nieves, DDS, MDS
- John Nixon
- Nocturna of Granbury, LP
- Amber Michelle Nolley, D.C.
- Rajal Goswami Noorali, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.