Organization Active NPI

Nicolas a Soulier P C

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1265805451
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NICOLAS A SOULIER P C
Practice address
5229 Coldwater Rd
Fort Wayne, IN 46825-5538
Phone
(260) 484-1453
Fax
(260) 483-8287
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Dr. Nicolas A Soulier, O.D.NPI 1861468613
Title
Optometrist
Phone
(260) 312-5136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5229 Coldwater Rd
Fort Wayne, IN 46825-5538

Mailing address

5229 Coldwater Rd
Fort Wayne, IN 46825-5538
Phone (260) 484-1453

Other names 1

  • Soulier Eyecare Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160329002621 IN Part B Supplier - Clinic/Group Practice 0345547782 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Fort Wayne, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nicolas a Soulier P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1265805451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255538",
            "telephone_number": "260-484-1453",
            "fax_number": "260-483-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255538",
            "telephone_number": "260-484-1453",
            "fax_number": "260-483-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS A SOULIER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "SOULIER",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "260-312-5136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soulier Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.