Annette Nickel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002519 Issued in IA

Practice address

16 S Clinton St
Iowa City, IA 52240-3912

Phone

(319) 337-4995

Fax

(319) 337-5707

NPI assigned

Jun 28, 2011

Last updated

Oct 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Ohio State University - College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Copeland Eyecare PLLCGroup PAC ID 1759557085, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.28 of 100Reported as group

Quality

80.56

Improvement activities

40

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Copeland Eyecare PLLC

  • Optometrist
  • Cedar Rapids, IA
  • NPI 1619244787
  Medicare reassignment Care Compare group NPD
• Nickel OD, LLC

  • Optometrist
  • Cedar Rapids, IA
  • NPI 1962780726
  NPD Authorized official
• Coralville Eye Associates, Inc

  dba Pearle Vision Coralville

  • Optometrist
  • Coralville, IA
  • NPI 1619480951
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1053607093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S CLINTON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403912",
            "telephone_number": "319-337-4995",
            "fax_number": "319-337-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S CLINTON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403912",
            "telephone_number": "319-337-4995",
            "fax_number": "319-337-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin William Nichols, D.D.S.
• Jeffrey Duane Nicholson, PT
• Rachael M Nicholson, M.D.
• Danielle Ann Nici, DDS
• Mark John Niciu Jr., MD PHD
• Ellen Jean Nickel, PHARMD
• Thomas K Nickl-Jockschat, MD
• Diane Patrice Niebuhr, MA CCC-A
• Jennifer R Niebyl, MD
• Anne Kathryn Nielsen, DNP, ARNP, CPNP-PC

• Optometrist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.