Individual provider Active NPI

Nichole Q Soto, THERAPEUTIC OPTOMETR

  • Optometrist
  • Rockport, TX
National Provider Identifier
1932240256
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5951TG Issued in TX
Practice address
2740 Hwy 35 North
Rockport, TX 78382
Phone
(361) 729-2020
Fax
(361) 729-4525
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5951TG TX Primary

Addresses

Primary practice location

2740 Hwy 35 North
Rockport, TX 78382

Mailing address

101 N Magnolia St
Rockport, TX 78382-2748
Phone (361) 729-2020

Other identifiers 2

IdentifierTypeStateIssuer
143025801MedicaidTX
0020FBOtherBCBS

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
I20100617000786 TX Practitioner - Optometry 0840320818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 N Magnolia
Rockport, TX 78382-2748
Phone (361) 729-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5951TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nichole Q Soto OD PC Optometrist CurrentSince Apr 12, 2001 Accepting new patients
Paul M Hamilton PHD PC PastSince Feb 9, 2010 Accepting new patients

Locations

2740 Highway 35 N
Rockport, TX 78382
Phone (361) 729-2020

101 N Magnolia St
Rockport, TX 78382
Phone (361) 727-0143

2740 Highway 35 N
#20
Rockport, TX 78382
Phone (361) 729-2020

Interoperability endpoints

  • Direct secure messaging: direct@2020opticalrockporttx.compulinkdirect.com

Organizations & group practices 2

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1932240256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MAGNOLIA ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783822748",
            "telephone_number": "361-729-2020",
            "fax_number": "361-729-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 HWY 35 NORTH",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "78382",
            "telephone_number": "361-729-2020",
            "fax_number": "361-729-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "NICHOLE",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "THERAPEUTIC OPTOMETR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5951TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143025801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0020FB",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

Verify at the official NPI Registry.