Active NPI
Nicole McConnell, OD
- Optometrist
- Goodyear, AZ
National Provider Identifier
1285421297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002943
- Practice address
- 16918 W Beth Dr
Goodyear, AZ 85338-4740 - Phone
- (623) 606-1510
- NPI assigned
- Apr 22, 2025
- Last updated
- Jul 16, 2026
- Sex
- Female
- 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 | OPT-002943 | AZ | Primary |
Addresses
Primary practice location
16918 W Beth Dr
Goodyear, AZ 85338-4740
Mailing address
7071 N 138TH Ave BLDG 1540
Glendale, AZ 85307-2006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16918 W Beth Dr
Goodyear, AZ 85338-4740
5691 Rickenbacker Rd
Nellis AFB, NV 89191-7087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1285421297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7071 N 138TH AVE BLDG 1540",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853072006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16918 W BETH DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384740",
"telephone_number": "623-606-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "NICOLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-22",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.