Nicole J Kammeyer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT2622 Issued in TN

Practice address

1286 Market St
Dayton, TN 37321-1250

Phone

(423) 775-4747

Fax

(423) 775-4749

NPI assigned

Oct 23, 2006

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 TN

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

Ohio State University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 1

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.

• Bradley Andrew Shaffer, O.D.

  • Optometrist
  • Dayton, TN
  • NPI 1982801957
  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.

• Nicole J. Kammeyer, O.D.

  dba Eyes on Main

  • Optometrist
  • Dayton, TN
  • NPI 1730745019
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1871676866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 MARKET ST",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211250",
            "telephone_number": "423-775-4747",
            "fax_number": "423-775-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 MARKET ST",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211250",
            "telephone_number": "423-775-4747",
            "fax_number": "423-775-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMEYER",
        "first_name": "NICOLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT2622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3946680",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Algianon Moses Jeffero, MD
• Amanda Johnson, PT
• Stephanie Marin Johnson, LPC-MHSP
• Lindsey Justice Pelfrey, FNP
• K-VA-T Food Stores Inc (Food City Pharmacy #724)
• Adriane Keil
• Benjamin Edward Kellogg, M.D.
• Amber Kerr, FNP-C
• Diana Novakovic Kessler, DO
• Sarah Kindred, ADV-CPHT

• Optometrist in Dayton, TN
• Providers in Dayton, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.