Nicole Yvonne Monroe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

647 Issued in MS

Practice address

6947 Crumpler Blvd Ste 100
Olive Branch, MS 38654-1922

Phone

(662) 893-3300

Fax

(662) 893-3301

NPI assigned

Dec 19, 2005

Sex

Female

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

Other names 1

• Nicole Yvonne Steiner Former name

Medicare fee-for-service enrollment

Enrolled in MS

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

Southern College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horn Lake Eyecare, PLLCGroup PAC ID 4486889284, 3 clinicians

Olive Branch Eyecare, PLLCGroup PAC ID 4981797297, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Horn Lake Eyecare PLLC

  • Optometrist
  • Horn Lake, MS
  • NPI 1609116581
  Medicare reassignment Care Compare group NPD
• Olive Branch Eyecare, PLLC

  • Optometrist
  • Olive Branch, MS
  • NPI 1003019878
  Medicare reassignment Care Compare group NPD
• Coldwater Vision Center LLC

  • Optometrist
  • Coldwater, MS
  • NPI 1003952383
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700862042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 CRUMPLER BLVD SUITE 100",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541922",
            "telephone_number": "662-893-3300",
            "fax_number": "662-893-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6947 CRUMPLER BLVD STE 100",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541922",
            "telephone_number": "662-893-3300",
            "fax_number": "662-893-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "NICOLE",
        "middle_name": "YVONNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802007",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "STEINER",
            "middle_name": "YVONNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy #05604)
• Mississippi State Department of Health
• Tasha D Mitchell, LCSW
• Kenneth Carl Mitten, LCSW
• Callie Moffitt, RN
• Misty Moore Ivy, C.R.N.P.
• S. Jeff Moore, DDS
• Kelly Sue Morgan, OTR/L
• Bianca Sade Moss, ST
• MSK Group, PC

• Optometrist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.