Nicole Ann Solem, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

MS8065496 Issued in MN

Practice address

4455 Highway 169 N
Plymouth, MN 55442-2897

Phone

(763) 559-7358

NPI assigned

Jun 12, 2021

Last updated

Jul 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Purrier Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Don Sealock OD PAGroup PAC ID 5092755215, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.01 of 100Reported as group

Quality

84.02

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.solem.p1@direct.eyecarepartners.nextgenshare.com

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.

• Don Sealock, O.D., P.a.

  dba Four Seasons Eyecare

  • Optometrist
  • Plymouth, MN
  • NPI 1497785620
  Medicare reassignment Care Compare group
• Don Sealock, O.D., P.a.

  dba Mound Eye Clinic

  • Eyewear Supplier
  • Mound, MN
  • NPI 1861941312
  NPD (past)
• Hometown Eye Care, Inc

  • Optometrist
  • Big Lake, MN
  • NPI 1841221785
  NPD (past)

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1073181574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553130604",
            "telephone_number": "218-340-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 HIGHWAY 169 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422897",
            "telephone_number": "763-559-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 N Michigan Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112825",
            "country_code": "US",
            "telephone_number": "312-787-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606042992",
            "country_code": "US",
            "telephone_number": "312-427-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLEM",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-12",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011514",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MS8065496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PURRIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Elvern Snidarich
• Snyders Drug (Snyder Drug Emporium)
• Snyders Drug (Snyder Drug Emporium)
• Lily Soderholm
• Israel O Sokeye, M.D
• Paul Julius Solie, PT
• Abigail Gloria Solsback
• Lindsey J Soltvedt, PT
• Laura Solverson, MA, OTR/L
• Sandra Kuperman Sondell, PH.D.

• Optometrist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.