Thomas J Nicolai, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2383-035 Issued in WI

Practice address

305 Elaines CT
Dodgeville, WI 53533-2103

Phone

(608) 930-4362

Fax

(608) 930-4366

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tnicolai264055@direct-ehr-ssmhc.com

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1346293792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ELAINES CT",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535332103",
            "telephone_number": "608-930-4362",
            "fax_number": "608-930-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ELAINES CT",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535332103",
            "telephone_number": "608-930-4362",
            "fax_number": "608-930-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2383-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346293792",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnicolai264055@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tnicolai264055@direct-ehr-ssmhc.com",
            "address_1": "305 Elaines Ct",
            "city": "Dodgeville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535332103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "305 Elaines Ct",
            "city": "Dodgeville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535332103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosette Morrey, FNP
• Sarah M Motl, PA-C
• Peter G Mullin, MD
• Misty Lynn Nemitz, APNP
• Katelyn Nicole Nichols
• Anna Ninneman, RN
• Melinda North, RRT
• Daniel Obi, PA-C
• Lauren Rae Bakken Olinger
• Sadie Olson, RPSGT

• Optometrist in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.