Mt Pleasant Eye Care Center PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MT PLEASANT EYE CARE CENTER PA

Practice address

2001 W Ferguson Rd
Suite 2020
Mt Pleasant, TX 75455-2925

Phone

(903) 572-1991

Fax

(903) 572-4718

NPI assigned

Sep 8, 2008

Last updated

Jun 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian K Nichols, ODNPI 1700840840

Title

Owner

Phone

(903) 572-4718

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Brian Keith Nichols, O.D.

  • Corneal and Contact Management Optometrist
  • Mount Pleasant, TX
  • NPI 1700840840
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1881842367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W FERGUSON RD",
            "address_2": "SUITE 2020",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552925",
            "telephone_number": "903-572-1991",
            "fax_number": "903-572-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W FERGUSON RD",
            "address_2": "SUITE 2020",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552925",
            "telephone_number": "903-572-1991",
            "fax_number": "903-572-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PLEASANT EYE CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-572-4718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199333901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mount Pleasant Independent School District
• Mount Pleasant Physical Therapy Clinic LLC
• Mount Pleasant Physicians,PLLC
• Mount Pleasant Senior Living, LLC (Heritage Park Village)
• MP Heart Associates, PLLC
• Mt Pleasant Professional Pharmacy
• Mt Pleasant Surgical Center, LLC (Mt Pleasant Surgical Center)
• Mt. Pleasant Ear, Nose and Throat Clinic, PA
• Mt. Pleasant I Enterprises, LLC (Villa of Mt. Pleasant Building 1, 2)
• Mt. Pleasant III Enterprises, LLC (Mount Pleasant Assisted Living)

• Optometrist in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.