Organization Active NPI

Nicolini Enterprises, Inc.

  • Optometrist
  • Abilene, TX
National Provider Identifier
1881702017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4853TG Issued in TX
Legal business name
NICOLINI ENTERPRISES, INC.
Practice address
3225 S 27TH St
Abilene, TX 79605-6221
Phone
(325) 691-0101
Fax
(325) 691-8950
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Angela Elise Nicolini, O.D.NPI 1811005028
Title
President/Physician
Phone
(325) 691-0101

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4853TG TX Primary

Addresses

Primary practice location

3225 S 27TH St
Abilene, TX 79605-6221

Mailing address

3225 S 27TH St
Abilene, TX 79605-6221
Phone (325) 691-0101

Other identifiers 1

IdentifierTypeStateIssuer
0013FEOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881702017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 S 27TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056221",
            "telephone_number": "325-691-0101",
            "fax_number": "325-691-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 S 27TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056221",
            "telephone_number": "325-691-0101",
            "fax_number": "325-691-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLINI ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICOLINI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "325-691-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4853TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0013FE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.