Organization Active NPI

Nicol L. Mayfield, OD, PC

  • Optometrist
  • Omaha, NE
National Provider Identifier
1215174636
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1125 Issued in NE
Legal business name
NICOL L. MAYFIELD, OD, PC
Practice address
6304 N 99TH St
Omaha, NE 68134-1528
Phone
(402) 492-9440
NPI assigned
Jan 8, 2009
Last updated
Dec 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Dr. Nicol L Mayfield, O.D.
Title
Optometrist
Phone
(402) 312-5811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1125 NE Primary

Addresses

Primary practice location

6304 N 99TH St
Omaha, NE 68134-1528

Mailing address

6734 S 163Rd St
Omaha, NE 68135-6392
Phone (402) 891-5752

National Provider Directory

National Provider Directory

Locations

16960 W Maple Rd
Omaha, NE 68116
Phone (402) 289-9276

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1215174636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6734 S 163RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681356392",
            "telephone_number": "402-891-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 N 99TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341528",
            "telephone_number": "402-492-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOL L. MAYFIELD, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "NICOL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-312-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.