Nicholas E Bem, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11106297-9934 Issued in UT

Practice address

27TH Special Operations Medical Group
224 W D.L. Ingram Avenue, BLDG. 1408
Cannon AFB, NM 88103

Phone

(575) 904-3881

NPI assigned

Sep 10, 2014

Last updated

Mar 26, 2024By 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

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Winston Salem, NC
  • NPI 1245283753
  NPD
• Eyecarecenter, O.D., P.a.

  dba EyeCare Center

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• Albemarle Eye Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Washington, NC
  • NPI 1336432301

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1164823142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27TH SPECIAL OPERATIONS MEDICAL GROUP",
            "address_2": "224 W D.L. INGRAM AVENUE, BLDG. 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27TH SPECIAL OPERATIONS MEDICAL GROUP",
            "address_2": "224 W D.L. INGRAM AVENUE, BLDG. 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "575-904-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEM",
        "first_name": "NICHOLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "11106297-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanyelit Katiuska Atkinson
• Rachael Christine Auger, APRN
• Nancy Barquin Barron, LPC
• Matthew Richard Bass, PT, DPT
• Jillian Marie Beausoleil, IDMT
• Ashton Nicole Bierbrauer-Martin, APRN, FNP-C
• Tara Rene Blackwelder, NP-C
• Ericka Jean Bond, LCSW
• Bryan W Bovitz, PHD
• Holly J Brooks, LPN

• Optometrist in Cannon AFB, NM
• Providers in Cannon AFB, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.