NPIMap

Organization Active NPI

Dr. James R. Nickol Dr. Frank L. Weidema Optometrists, P.a.

Doing business as Lower Shore Vision Center

  • Optometrist
  • Pocomoke City, MD
National Provider Identifier
1710973771
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. JAMES R. NICKOL DR. FRANK L. WEIDEMA OPTOMETRISTS, P.A.
Doing business as
Lower Shore Vision Center
Practice address
1518 Market St
Pocomoke City, MD 21851-1712
Phone
(410) 957-1113
Fax
(410) 957-4794
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frank Linsday Weidema, O.D,NPI 1588650105
Title
President
Phone
(410) 957-1113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MD Primary

Addresses

Primary practice location

1518 Market St
Pocomoke City, MD 21851-1712

Mailing address

1518 Market St
Pocomoke City, MD 21851-1712
Phone (410) 957-1113

Other names 1

  • Lower Shore Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000783 MD Part B Supplier - Clinic/Group Practice 0244293520 Receives reassigned benefits from 2 practitioners
Practice locations: Pocomoke City, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1710973771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MARKET ST",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511712",
            "telephone_number": "410-957-1113",
            "fax_number": "410-957-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MARKET ST",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511712",
            "telephone_number": "410-957-1113",
            "fax_number": "410-957-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES R. NICKOL DR. FRANK L. WEIDEMA OPTOMETRISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "WEIDEMA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "LINSDAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-957-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Shore Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocomoke City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.