Chelle Nickle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

375826-9934 Issued in UT

Practice address

57 N Main St
Farmington, UT 84025-3517

Phone

(801) 447-4393

NPI assigned

Oct 23, 2006

Last updated

Feb 23, 2010By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

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

Southern California College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision Care of Ogden PCGroup PAC ID 4082866827, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

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.

• Family Vision Care of Ogden PC

  • Optometrist
  • Ogden, UT
  • NPI 1184974883
  Medicare reassignment Care Compare group NPD
• Aeg Utah Professional Inc

  • Optometrist
  • Logan, UT
  • NPI 1154212777
  Medicare reassignment NPD
• Wasatch Vision Clinic LLC

  • Optometrist
  • Salt Lake City, UT
  • NPI 1255517637
  Medicare reassignment NPD
• Eye Site of Farmington, LLC

  • Optometrist
  • Farmington, UT
  • NPI 1295057958
  Authorized official Same address or phone
• David B. Burnett P.C.

  dba Oakridge Optometry

  • Optometrist
  • Farmington, UT
  • NPI 1669651808
  NPD (past)
• Rich H. Humpherys, O.D.

  dba Family Vision Care

  • Optometrist
  • Ogden, UT
  • NPI 1730350505
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1144303983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N 1000 W",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840372485",
            "telephone_number": "801-444-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N MAIN ST",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253517",
            "telephone_number": "801-447-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLE",
        "first_name": "CHELLE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "375826-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH OPTOMETRIST LICENSE",
            "identifier": "375826-9934",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH OD CONTROLLED SUBSTA",
            "identifier": "375826-8908",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• National Vision Inc (America's Best Contacts & Eyeglasses)
• Lorilyn Neel
• Anndee Neuman, PT, DPT, LAT, ATC
• Christopher Ryser Newton, PHARMD
• Kim Nguyen
• Doug E Nielsen, MSW, LCSW
• Florence Ann Nielsen, CSW
• Jen Nielsen, RN
• Jessinna Nielson, FNP-C
• Maureen Sue Noble, ACMHC

• Optometrist in Farmington, UT
• Providers in Farmington, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.