Kevin R Hickman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002532 Issued in IN

Practice address

2251 Dubois Dr
Warsaw, IN 46580-3212

Phone

(574) 269-2777

Fax

(574) 371-4697

NPI assigned

May 31, 2005

Last updated

Feb 22, 2008By the provider in NPPES

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 IN2 enrollments

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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kevin R Hickman

  dba Bremen Family Eyecare

  • Optometrist
  • Bremen, IN
  • NPI 1407903966

  O20100930047066

  Same enrollment

Specialty

Optometry

Education

Indiana University - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grossnickle Eye Center IncGroup PAC ID 7810897758, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.94 of 100Reported as group

Quality

91.45

Improvement activities

40

Cost

77.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/mi-gecenter

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsey Ehret Huff, O.D.

  • Optometrist
  • Carmel, IN
  • NPI 1588963995
  Medicare reassignment
• Edward John Schneider, OD

  • Optometrist
  • Ossian, IN
  • NPI 1922076629
  Medicare reassignment

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.

• Grossnickle Eye Center, Inc.

  • Ophthalmology Physician
  • Warsaw, IN
  • NPI 1265436125
  Medicare reassignment Care Compare group NPD
• Kevin R Hickman

  dba Bremen Family Eyecare

  • Optometrist
  • Bremen, IN
  • NPI 1407903966
  NPD Authorized official
• Grossnickle Eye Center, Inc.

  dba Grossnickle Eye Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Warsaw, IN
  • NPI 1134259179
  NPD
• Grossnickle Eye Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Warsaw, IN
  • NPI 1407882236
  NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1609879030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 DUBOIS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803212",
            "telephone_number": "574-269-2777",
            "fax_number": "574-371-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 DUBOIS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803212",
            "telephone_number": "574-269-2777",
            "fax_number": "574-371-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Hendricks, M.D.
• Hermann Ventures LLC (Seasons HomeCare)
• Jessica Hermosillo Gaytan, MA, LMHCA
• Jane L. Heyde, DDS
• Audrey Erin Hice, NP
• Chloe Hicks, RBT
• John C Hilgenberg, M.D.
• Charles Lee Hill III, D.O.
• Tiffany Hines
• Christine Susanne Hinz, RN

• Optometrist in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.