Danielle Nimeh, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10130T Issued in TX

Practice address

6636 Lake Worth Blvd Ste 300
Lake Worth, TX 76135-3029

Phone

(817) 626-4441

Fax

(817) 625-7675

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael D. Conte, PCGroup PAC ID 3072501428, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michael D. Conte PC

  • Optometrist
  • Lake Worth, TX
  • NPI 1851580351
  Medicare reassignment Care Compare group NPD
• Michael D Conte Odpc

  • Optometrist
  • Azle, TX
  • NPI 1720251853
  NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1922607274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 LAKE WORTH BLVD STE 300",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353029",
            "telephone_number": "817-626-4441",
            "fax_number": "817-625-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 LAKE WORTH BLVD STE 300",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353029",
            "telephone_number": "817-626-4441",
            "fax_number": "817-625-7675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 Jacksboro Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761142206",
            "country_code": "US",
            "telephone_number": "817-626-2020",
            "fax_number": "817-720-6338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIMEH",
        "first_name": "DANIELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "10130T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10130T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Mutschler
• National Hearing Centers
• National Vision, Inc.
• Network Provider Associates, P.C.
• Jennifer Nguyen, DO
• Northland Hearing Center, Inc.
• Chantel Odabi, DMD
• Bailey Marie Pawelek, D.C.
• Russell Pendleton, DPM
• Linda Peterson, RN

• Optometrist in Lake Worth, TX
• Providers in Lake Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.