Provider Demographics
NPI:1295041945
Name:KOKEL, NIKKI SUE (OD)
Entity Type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:SUE
Last Name:KOKEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:SUE
Other - Last Name:POLNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1535 CULLEN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7066
Mailing Address - Country:US
Mailing Address - Phone:713-436-1551
Mailing Address - Fax:713-436-7491
Practice Address - Street 1:1535 CULLEN BLVD
Practice Address - Street 2:STE 200
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-8969
Practice Address - Country:US
Practice Address - Phone:713-436-1551
Practice Address - Fax:713-436-7491
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07435TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist