Active NPI
Nicole Jerolyn Graham
- Optometrist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1642
- Practice address
- 2500 Northview Rd
Lincoln, NE 68521-1383 - Phone
- (402) 420-2020
- Fax
- (314) 741-4947
- NPI assigned
- Feb 12, 2024
- Last updated
- Aug 19, 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 | 1642 | NE | Primary |
Addresses
Primary practice location
2500 Northview Rd
Lincoln, NE 68521-1383
Mailing address
2500 Northview Rd
Lincoln, NE 68521-1383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Northview Rd
Eyecare Specialities
Lincoln, NE 68521-1383
Phone (402) 420-2020
8102 S 84TH St
1068 Brentwood
La Vista, NE 68128-3305
Phone (402) 339-5550
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1642 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John H McDougall OD PC | Optometrist | Current | Accepting new patients |
| John H McDougall OD PC | Optometrist | Current | Accepting new patients |
| International Eyecare Center Inc | Optometrist | Current | Accepting new patients |
| International Eyecare Center LLC | Optometrist | Current | Accepting new patients |
| International Eyecare Center, Inc. | Optometrist | Past | Accepting new patients |
Locations
111 E 4th St
Ste 440
Alton, IL 62002
2005 Court St
Beatrice, NE 68310
Phone (402) 223-4098
8102 S 84th St
#1068
La Vista, NE 68128
Phone (402) 339-5550
2500 Northview Rd
Lincoln, NE 68521
Phone (402) 420-2020
10114 Maple St
#1070
Omaha, NE 68134
Phone (402) 391-6600
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1528822376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NORTHVIEW RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTHVIEW RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211383",
"telephone_number": "402-420-2020",
"fax_number": "314-741-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "NICOLE",
"middle_name": "JEROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.