Individual provider Active NPI

Nichole Suzanne Hilk, OD

  • Optometrist
  • Spring Lake, MI
National Provider Identifier
1952895245
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005126 Issued in MI
Practice address
105 W Exchange St
Spring Lake, MI 49456-2024
Phone
(616) 844-7000
NPI assigned
Jun 19, 2018
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005126 MI Primary

Addresses

Primary practice location

105 W Exchange St
Spring Lake, MI 49456-2024

Mailing address

451 Fairoaks Dr
Saginaw, MI 48638-6103
Phone (989) 780-2661

Other names 1

  • Nichole Suzanne Conley Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20181003001130 MI Practitioner - Optometry 4385996354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care One PLLCGroup PAC ID 6800885161, 3 clinicians

Practice addresses (Care Compare)

314 W Savidge St
Spring Lake, MI 49456-1607
Phone (616) 844-7000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005126MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care One, PLLC Optometrist CurrentSince Aug 22, 2018 Accepting new patients
E.C. One, PLLC Optometrist CurrentSince Aug 22, 2018 Accepting new patients

Locations

307 S Franklin St
Greenville, MI 48838
Phone (616) 754-6300

1930 E Apple Ave
Ste E
Muskegon, MI 49442
Phone (231) 777-2822

2984 Henry St
Norton Shores, MI 49441
Phone (231) 737-7700

105 W Exchange St
Spring Lake, MI 49456
Phone (616) 846-0620

314 W Savidge St
Spring Lake, MI 49456
Phone (616) 844-7000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1952895245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 FAIROAKS DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386103",
            "telephone_number": "989-780-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W EXCHANGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562024",
            "telephone_number": "616-844-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILK",
        "first_name": "NICHOLE",
        "middle_name": "SUZANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "CONLEY",
            "middle_name": "SUZANNE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Lake, MI

Sources for this page

Verify at the official NPI Registry.