Active NPI
Nichols Optical Inc
- Eyewear Supplier
- Mt Pleasant, MI
National Provider Identifier
1699725119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- NICHOLS OPTICAL INC
- Doing business as
- Pearle Vision 8491
- Practice address
- 4164 E Bluegrass Rd
Mt Pleasant, MI 48858-7967 - Phone
- (989) 772-9481
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lori Wirth
- Title
- General Manager
- Phone
- (231) 941-7788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4164 E Bluegrass Rd
Mt Pleasant, MI 48858-7967
Mailing address
3200 S Airport Rd W
Suite 146
Traverse City, MI 49684-8117
Phone (231) 941-7788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 864472126 | Medicaid | MI |
Other names 1
- Pearle Vision 8491
National Provider Directory
National Provider DirectoryLocations
4164 E Blue Grass Rd
Mt Pleasant, MI 48858
Phone (989) 772-9481
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Saginaw, MI
- NPI 1629118351
-
- Optometrist
- Mount Pleasant, MI
- NPI 1609792852
-
- Optometrist
- Mt Pleasant, MI
- NPI 1588649628
-
- Optometrist
- Bay City, MI
- NPI 1063466431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311897600000",
"number": "1699725119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 S AIRPORT RD W",
"address_2": "SUITE 146",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496848117",
"telephone_number": "231-941-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4164 E BLUEGRASS RD",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488587967",
"telephone_number": "989-772-9481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLS OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2011-07-29",
"status": "A",
"authorized_official_last_name": "WIRTH",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "231-941-7788",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "864472126",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearle Vision 8491",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.