Individual provider Active NPI

Erin Eliabeth Nichols, M.D.

  • Ophthalmology Physician
  • Mentor, OH
National Provider Identifier
1053774489
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.138536 Issued in OH
Practice address
8140 Norton Pkwy Ste 110
Mentor, OH 44060-6017
Phone
(440) 255-1115
NPI assigned
Apr 2, 2016
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.138536 OH Primary

Addresses

Primary practice location

8140 Norton Pkwy Ste 110
Mentor, OH 44060-6017

Mailing address

8140 Norton Pkwy Ste 110
Mentor, OH 44060-6017
Phone (440) 255-1115

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address enichols@osm.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106000604 OH Practitioner - Ophthalmology 7315222692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Physicians, IncGroup PAC ID 7113822735, 7 clinicians

Practice addresses (Care Compare)

8140 Norton Pkwy
Suite 110
Mentor, OH 44060-6017
Phone (440) 255-1115

Merit-based Incentive Payment System (MIPS)

Final score
90.73 of 100Reported as group
Quality
94
Improvement activities
40
Cost
77.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Physicians, Inc Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
Michigan Ophthalmology Specialists, PLLC Ophthalmology Current Accepting new patients
Ophthalmic Physicians Inc Ophthalmology PastSince Mar 1, 2021 Accepting new patients

Locations

8140 Norton Pkwy
Ste 110
Mentor, OH 44060
Phone (440) 255-1115

Interoperability endpoints

  • Direct secure messaging: enichols@osm.intellechartdirect.net
  • Direct secure messaging: enichols219486@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1053774489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 NORTON PKWY STE 110",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606017",
            "telephone_number": "440-255-1115",
            "fax_number": "440-255-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 NORTON PKWY STE 110",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606017",
            "telephone_number": "440-255-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ERIN",
        "middle_name": "ELIABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.138536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enichols@osm.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "8140 Norton Pkwy Ste 110",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440606017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.