Organization Active NPI

Steven B. Nicholson,O.D., PC

  • Optometrist
  • Hastings, NE
National Provider Identifier
1336336015
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
830 Issued in NE
Legal business name
STEVEN B. NICHOLSON,O.D., PC
Practice address
2727 W 2ND St
Suite 318
Hastings, NE 68901-4684
Phone
(402) 463-1327
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Steven B. Nicholson
Title
President
Phone
(402) 463-1327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 830 NE Primary

Addresses

Primary practice location

2727 W 2ND St
Suite 318
Hastings, NE 68901-4684

Mailing address

2727 W 2ND St
Suite 318
Hastings, NE 68901-4684

Other identifiers 1

IdentifierTypeStateIssuer
100249873-00MedicaidNE

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2727 W 2nd St
Ste 318
Hastings, NE 68901
Phone (402) 463-1327

Practitioners & affiliated clinicians

Practitioners 2

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1336336015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W 2ND ST",
            "address_2": "SUITE 318",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W 2ND ST",
            "address_2": "SUITE 318",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014684",
            "telephone_number": "402-463-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN B. NICHOLSON,O.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-463-1327"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249873-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.