Stephen L Nichols, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1578-3 Issued in KS

Practice address

7504 Antioch Rd
Overland Park, KS 66204-2622

Phone

(913) 341-3100

Fax

(913) 341-6818

NPI assigned

Oct 5, 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 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas City Eye Clinic, P.a.Group PAC ID 0143206102, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.59 of 100Reported as group

Quality

96.44

Improvement activities

40

Cost

76.71

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: snichols@kceyeclinic.direct.eyemdemr.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.

• Kansas City Eye Clinic, P.a.

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1063622124

  Optometrist

  Medicare reassignment Care Compare group NPD
• Kansas City Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1174197990
  NPD

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1568459469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803861",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803861",
            "telephone_number": "913-341-3100",
            "fax_number": "913-341-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042622",
            "telephone_number": "913-341-3100",
            "fax_number": "913-341-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1578-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia Marie Nichols, LCPC
• Jessica Nichols, ARNP
• Jon Christopher Nichols, M.D.
• Mikayla Nichols, CD
• Rebecca Duffy Nichols, O.D.
• Jill Nicholson
• Samantha Nicholson
• Tucker Bradley Nicholson, MD
• Kendall Nick, RPT
• Breanne Michelle Niebuhr, O.D.

• Optometrist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.