Individual provider Active NPI

Rebecca Duffy Nichols, O.D.

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1972532315
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1602 Issued in KS
Practice address
7504 Antioch Rd
Overland Park, KS 66204-2622
Phone
(913) 341-3100
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1602 KS Primary

Addresses

Primary practice location

7504 Antioch Rd
Overland Park, KS 66204-2622

Mailing address

18746 W 164TH Ter
Olathe, KS 66062-9041
Phone (913) 829-8879

Other identifiers 1

IdentifierTypeStateIssuer
P00677770OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20080807000550 KS Practitioner - Optometry 5294809398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Eye Clinic, P.a.Group PAC ID 0143206102, 9 clinicians

Practice addresses (Care Compare)

7504 Antioch Rd
Overland Park, KS 66204-2622
Phone (913) 341-3100

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
96.44
Improvement activities
40
Cost
76.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1602KSMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Eye Clinic, P.a. Optometrist CurrentSince Jul 18, 2008 Accepting new patients
Kansas City Surgery Center, LLC CurrentSince Jul 18, 2008 Accepting new patients

Locations

7504 Antioch Rd
Overland Park, KS 66204
Phone (913) 341-3100

4061 Indian Creek Pkwy
Ste 310
Overland Park, KS 66207
Phone (913) 341-3100

Interoperability endpoints

  • Direct secure messaging: rnichols@kceyeclinic.direct.eyemdemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1972532315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18746 W 164TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660629041",
            "telephone_number": "913-829-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042622",
            "telephone_number": "913-341-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "REBECCA",
        "middle_name": "DUFFY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00677770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.