GARY NICKEL, OD, PA (NPI# 1538309620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538309620 |
| Entity Type | Organization |
| Organization Name | GARY NICKEL, OD, PA |
| Practice Address |
404 N 14th St Independence KS 67301-2909 |
| Mailing Address |
Po Box 474 Independence KS 67301-0474 |
| Practice Telephone | 6203310910 |
| Practice Fax Number | 6203312121 |
| Mailing Telephone | 6203310910 |
| Mailing Fax Number | 6203312121 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-03 |
| Authorized Official Name | DR. GARY P NICKEL (OPTOMTRIST) |
| Authorized Official Telephone | 6203310910 |
| Authorized Official Credential | OD/PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 09562 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100090130B | 05 |
| Street Address |
404 N 14TH ST |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053412262 | Gary Nickel | Optometrist | 404 N 14th St, Independence, KS 67301-2909 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1649683368 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3411 S Noland Rd, Independence, MO 64055-1319 | 2014-06-10 |
| 1063830461 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 19550 E 39th St S Ste 115, Independence, MO 64057-2329 | 2014-04-02 |
| 1285075119 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1315 West 23rd St, Independence, MO 64052 | 2013-07-08 |
| 1346588464 | Be Savvy Beauty Supply | Durable Medical Equipment & Medical Supplies | 3800 S Elizabeth St Ste H, Independence, MO 64057-2652 | 2013-01-24 |
| 1972730737 | Lainey Medical L.L.C. | Durable Medical Equipment & Medical Supplies | 16650 E Us Highway 40, Suite C, Independence, MO 64055-5327 | 2009-06-18 |
| 1518157049 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 17844 E 23rd St S Ste D404, Independence, MO 64057-1840 | 2007-07-31 |
| 1669662631 | Tromar Dme Supplies, LLC | Durable Medical Equipment & Medical Supplies | 312 West 4th Street, Independence, LA 70443 | 2007-07-26 |
| 1447478649 | Sabates Eye Centers, Pa | Durable Medical Equipment & Medical Supplies | 4741 South Arrowhead Drive, Independence, MO 64055-6957 | 2007-04-23 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
Please comment or provide details below to improve the information on GARY NICKEL, OD, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.