Brian Scott Nishek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1819 Issued in NC

Practice address

324 N Highway 16
Denver, NC 28037-8012

Phone

(704) 483-2263

Fax

(704) 483-6136

NPI assigned

Nov 9, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Eye Care of Lincoln County Optometry PLLCGroup PAC ID 9436040391, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bnishek@carolinaeyecareden.eyefinity-direct.com

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.

• Carolina Eye Care of Lincoln County Optometry PLLC

  • Optometrist
  • Denver, NC
  • NPI 1699863068

  NC, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Carolina Eye Care Huntersville Optometry PLLC

  • Optometrist
  • Huntersville, NC
  • NPI 1992392310

  NC, Optometrist

  Medicare reassignment NPD Authorized official
• Mooresville Eye Care, OD, PLLC

  • Optometrist
  • Mooresville, NC
  • NPI 1164833851
  NPD
• Lang & Miller Optometric Clinic, PA

  • Optometrist
  • Huntersville, NC
  • NPI 1922116516
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1477534253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378012",
            "telephone_number": "704-483-2263",
            "fax_number": "704-483-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378012",
            "telephone_number": "704-483-2263",
            "fax_number": "704-483-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHEK",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093MV",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "093MV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathen Ellis DDS PLLC
• Laura Eileen Needham, DPT
• Albi Ngjelo, DMD
• Shannon Nichols
• Nicole Wells DDS PLLC
• North Carolina CVS Pharmacy LLC
• North Carolina CVS Pharmacy LLC
• North State Medical Group, P.a.
• North State Medical Group, P.a.
• Novant Health Medical Group, LLC

• All providers in Denver, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.

Verify at the official NPI Registry.