Dr. Eric Nicholls And Associates, P.c. is a medicare enrolled "Optometrist - Pediatrics" provider in Gurnee, Illinois. Their current practice location is
6590 Grand Ave., Gurnee, Illinois. You can reach out to their office (for appointments etc.) via phone at
(847) 855-1233.
Dr. Eric Nicholls And Associates, P.c. is licensed to practice in Illinois (license number 46009345) and it also participates in the medicare program. Dr. Eric Nicholls And Associates, P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1982738183.
Healthcare Provider's Profile
Full Name | Dr. Eric Nicholls And Associates, P.c. |
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Type | Facility |
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Speciality | Optometrist - Pediatrics |
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Location | 6590 Grand Ave., Gurnee, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982738183
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 9335243922
- Enrollment ID: O20070410000041
Medical Identifiers
Medical identifiers for Dr. Eric Nicholls And Associates, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982738183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 46009345 (Illinois) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | 46009645 (Illinois) | Primary |
152WP0200X | Optometrist - Pediatrics | 46009345 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dr. Eric Nicholls And Associates, P.c. acts as a billing entity for following providers:
Provider Name | Eric O Nicholls |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1821189051 PECOS PAC ID: 1254435837 Enrollment ID: I20070410000032 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr. Eric Nicholls And Associates, P.c. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr. Eric Nicholls And Associates, P.c. 22961 Long Grove Rd., Deer Park, IL 60010 Ph: () - | Dr. Eric Nicholls And Associates, P.c. 6590 Grand Ave., Gurnee, IL 60031 Ph: (847) 855-1233 |
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