NICKEL OD, LLC (NPI# 1962780726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962780726 |
| Entity Type | Organization |
| Organization Name | NICKEL OD, LLC |
| Practice Address |
1030 Blairs Ferry Rd Ne Cedar Rapids IA 52402-1220 |
| Mailing Address |
208 Sunflower Dr Fairfax IA 52228-4731 |
| Practice Telephone | 3193934459 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |
| Authorized Official Name | DR. ANNETTE NICKEL (OWNER) |
| Authorized Official Telephone | 7402626857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002519 | IA | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NICKEL OD, LLC | 208 Sunflower Dr, Fairfax, IA 52228 |
| Street Address |
1030 BLAIRS FERRY RD NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912929654 | Iowa Cvs Pharmacy LLC | Pharmacy | 1030 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1220 | 2006-07-24 |
| 1871983593 | Jennifer Setrum | Pharmacy Technician | 1030 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1220 | 2015-02-02 |
| 1821356007 | Bryan John Anderson | Pharmacist | 1030 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1220 | 2012-04-25 |
| 1760757124 | Regina Marie Magnussen | Pharmacist | 1030 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1220 | 2012-03-19 |
| 1528352564 | Johanna Rene Scherer | Pharmacist | 1030 Blairs Ferry Rd Ne, T-1768, Cedar Rapids, IA 52402-1220 | 2011-06-07 |
| 1962796078 | Michelle George | Pharmacist | 1030 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1220 | 2011-06-06 |
| 1588958698 | Sharon Vanek | Pharmacist | 1030 Blairs Ferry Rd Ne, T-1768, Cedar Rapids, IA 52402-1220 | 2011-06-06 |
| 1700937588 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1030 Blairs Ferry Rd Ne, Cedar Rapids, IA 52402-1220 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1720437262 | Taylor Neumann | Optometrist | 4801 1st Ave Se, Cedar Rapids, IA 52402-3213 | 2016-06-06 |
| 1982086286 | Shannon Verwoert | Optometrist | 4625 Blarney Dr, Cedar Rapids, IA 52411-8015 | 2015-06-23 |
| 1073800363 | Daniel R Wolfe Od PC | Optometrist | 2501 Woodhill Dr Sw, Cedar Rapids, IA 52404-3371 | 2011-07-07 |
| 1871746099 | Iowa Eyecare PC | Optometrist | 510 10th St Se, Cedar Rapids, IA 52403-1207 | 2008-10-31 |
| 1124282637 | Spanda Inc | Optometrist | 3235 Williams Parkway Sw Ste 1, Cedar Rapids, IA 52404-1427 | 2008-07-14 |
| 1679788798 | B K Buchman | Optometrist | 182 Jacolyn Dr Nw, Cedar Rapids, IA 52405-4202 | 2007-05-11 |
| 1730265117 | Fetters Family Eyecare PC | Optometrist | 2600 Edgewood Rd Sw Ste 376, Cedar Rapids, IA 52404-3277 | 2006-10-28 |
| 1598867020 | Barbara Theresa Washburn | Optometrist | 4330 Czech Ln Ne, Cedar Rapids, IA 52402-2334 | 2006-09-04 |
| 1376584490 | Robert Merle Livin | Optometrist | 860 2nd Ave Se, Ste. B, Cedar Rapids, IA 52403-2460 | 2006-06-09 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
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| 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.