Nicole M. Kish, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2255 Issued in OK

Practice address

3539 W Main St
Norman, OK 73072-4811

Phone

(405) 573-9166

Fax

(405) 573-9768

NPI assigned

Jul 9, 2006

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

Medicare fee-for-service enrollment

Enrolled in OK

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

Pacific University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nicole M. Kish, O.D.,P.C.Group PAC ID 0244305795, 2 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.

• Nicole M. Kish, O.D.,P.C.

  • Optometrist
  • Norman, OK
  • NPI 1588796049
  Medicare reassignment Care Compare group NPD Authorized official
• Acuity Eyecare PC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1518204445
  NPD (past)
• Jacquelyn Powers OD PC

  • Optometrist
  • Norman, OK
  • NPI 1891952453
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1952334906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 W MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724811",
            "telephone_number": "405-573-9166",
            "fax_number": "405-573-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 W MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724811",
            "telephone_number": "405-573-9166",
            "fax_number": "405-573-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISH",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Kirk
• Serena Kirk
• Casey Will Chatham Kirkes, PT
• Blair A. Kirkpatrick, MD
• Richard A. Kirkpatrick, M.D.
• Hillary Michelle Kistler, SLP
• Mallory Anne Kittelson
• Madison D Kitts, RBT
• Anna Kjose, PH.D.
• Stephen Paul Klassen, PT, MPT, CERT. MDT

• Optometrist in Norman, OK
• Providers in Norman, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.