Individual provider Active NPI

Nicole Pekarek Robbins, O.D.

  • Optometrist
  • League City, TX
National Provider Identifier
1922436872
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7581TG Issued in TX
Practice address
2504 Encino Ave
League City, TX 77573-2572
Phone
(713) 560-9003
NPI assigned
Oct 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7581TG TX Primary

Addresses

Primary practice location

2504 Encino Ave
League City, TX 77573-2572

Mailing address

2504 Encino Ave
League City, TX 77573-2572
Phone (713) 560-9003

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
I20160217000442 TX Practitioner - Optometry 7517262389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 W FM 646 Rd
League City, TX 77573-4968
Phone (281) 337-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7581TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Creek Eyecare LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

1701 W FM 646 Rd
League City, TX 77573
Phone (281) 337-5430

Organizations & group practices 1

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": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1922436872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 ENCINO AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732572",
            "telephone_number": "713-560-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 ENCINO AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732572",
            "telephone_number": "713-560-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "NICOLE",
        "middle_name": "PEKAREK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7581TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.