Alexandra L Nicklin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4974 Issued in MA

Practice address

5 Cornerstone SQ
Westford, MA 01886-1483

Phone

(617) 949-1220

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Feccog Lowell LLC

  • Ophthalmology Physician
  • Westford, MA
  • NPI 1376942094
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1407281371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CORNERSTONE SQ",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018861483",
            "telephone_number": "617-949-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CORNERSTONE SQ",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018861483",
            "telephone_number": "617-949-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLIN",
        "first_name": "ALEXANDRA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swati W Nawathe, RD, LDN
• Taylor Neil, LMFT
• Sara Neville, MD
• New England Oral Surg. Assoc. LLC
• Newton Wellesley Hospital
• Josaranie Nieves Santana, DMD
• Samantha Jo Niven, PA
• Casey Elizabeth Nolan
• Nupath Inc.
• Rachael Catherine O'Toole, LICSW

• Optometrist in Westford, MA
• Providers in Westford, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.