Individual provider Active NPI

Nickolas J Huisman, O.D.

  • Optometrist
  • Iowa City, IA
National Provider Identifier
1275972697
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
073833 Issued in IA
Practice address
1018 William St
Iowa City, IA 52240-6625
Phone
(319) 338-9275
NPI assigned
Jun 19, 2013
Last updated
May 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 073833 IA Primary

Addresses

Primary practice location

1018 William St
Iowa City, IA 52240-6625

Mailing address

2434 Wayne Ave
Iowa City, IA 52240-2520

Other practice location 1

713 S Oak St
Iowa Falls, IA 50126-9546
Phone (641) 648-3306

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140702002084 IA Practitioner - Optometry 1355566506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Iowa City PCGroup PAC ID 4688564313, 6 clinicians

Practice addresses (Care Compare)

1018 William St
Iowa City, IA 52240-6625
Phone (319) 338-9275

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as individual
Quality
71.46
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073833IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Iowa City PC Optometrist CurrentSince May 1, 2021 Accepting new patients

Locations

1018 William St
Iowa City, IA 52240
Phone (319) 338-9275

Interoperability endpoints

  • Direct secure messaging: nickolas.huisman@direct.revolutionehr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1275972697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 WAYNE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522402520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 WILLIAM ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406625",
            "telephone_number": "319-338-9275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 S Oak St",
            "address_purpose": "LOCATION",
            "city": "Iowa Falls",
            "state": "IA",
            "postal_code": "501269546",
            "country_code": "US",
            "telephone_number": "641-648-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUISMAN",
        "first_name": "NICKOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "073833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.