Joel Kenton Nickell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1035DT Issued in KY

Practice address

408 Main St
West Liberty, KY 41472-1014

Phone

(606) 743-4111

Fax

(606) 743-2018

NPI assigned

Feb 12, 2007

Last updated

Aug 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nickell and Steele OD

  • Optometrist
  • West Liberty, KY
  • NPI 1902279318
  Authorized official Same address or phone
• Kentucky Eye Institute for Eye Health & Surgery

  dba Randy Steele O.D. & Associates

  • Optometrist
  • Morehead, KY
  • NPI 1093853483
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1043352792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 RIVERSIDE DR",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414721029",
            "telephone_number": "606-743-2554",
            "fax_number": "606-743-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MAIN ST",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414721014",
            "telephone_number": "606-743-4111",
            "fax_number": "606-743-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELL",
        "first_name": "JOEL",
        "middle_name": "KENTON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1035DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "3859",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010353",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "000000068235",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Comprehensive Care Center, Inc. (Homeplace Clinic West Liberty)
• Angela Mullins
• New Vision Recovery Center, LLC
• New Way Multi Speciality Clinic LLC
• Nickell and Steele OD
• David Wayne O'Quinn
• Jessica N Oldfield
• Tami Osborne, APRN
• Brooklyn Patrick-Moore
• Nicole A Perry

• Optometrist in West Liberty, KY
• Providers in West Liberty, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.