Active NPI
Nickolas J Huisman, O.D.
- Optometrist
- Iowa City, IA
National Provider Identifier
1275972697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 073833
- Practice address
- 1018 William St
Iowa City, IA 52240-6625 - Phone
- (319) 338-9275
- NPI assigned
- Jun 19, 2013
- Last updated
- May 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 71.46
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073833 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Iowa City PC | Optometrist | Current | Accepting new patients |
Locations
1018 William St
Iowa City, IA 52240
Phone (319) 338-9275
Interoperability endpoints
- 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.
-
- Optometrist
- Iowa City, IA
- NPI 1265405807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.