Nichols Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

NICHOLS OPTICAL INC

Practice address

336 W Front St
Traverse City, MI 49684-2204

Phone

(231) 941-5440

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lori Wirth

Title

General Manager

Phone

(231) 941-7788

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TraverseVision Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nichols Optical Inc

  • Optometrist
  • Traverse City, MI
  • NPI 1679558712

  2466447966

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Nichols Optical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nichols Optical Inc

  • Eyewear Supplier
  • Alpena, MI
  • NPI 1174572556
  NPD tax ID
• Nichols Optical Inc

  • Optometrist
  • Traverse City, MI
  • NPI 1679558712
  NPD tax ID

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1992755482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842204",
            "telephone_number": "231-941-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842204",
            "telephone_number": "231-941-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLS OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "WIRTH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "231-941-7788",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861978544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TraverseVision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nexgen Wound Care PLLC
• Nexus Family Services
• Jillian Nicholls
• Lindsay Allison Nicholls, RN
• Nichols Optical Inc
• Cynthia Nichols, PHD
• Elizabeth Nichols, OD
• Beth A Nickerson
• Rebekah Nickerson
• David Darwin Nicolaou, MD

• Eyewear Supplier in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.