Dr Eric Owen Nicholls, OD is a medicare enrolled "Optometrist" provider in Johnsburg, Illinois. His current practice location is
3801 Running Brook Farm Blvd, Johnsburg, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 385-9224.
Dr Eric Owen Nicholls is licensed to practice in Illinois (license number 46009345) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821189051.
Healthcare Provider's Profile
| Full Name | Dr Eric Owen Nicholls |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 3801 Running Brook Farm Blvd, Johnsburg, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821189051
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 10/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 1254435837
- Enrollment ID: I20070410000032
Medical Identifiers
Medical identifiers for Dr Eric Owen Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821189051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 46009345 (Illinois) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 46009345 (Illinois) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Eric Owen Nicholls allows following entities to bill medicare on his behalf.
| Provider Name | Dr Eric Nicholls And Associates Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982738183
PECOS PAC ID: 9335243922
Enrollment ID: O20070410000041 |
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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 Owen Nicholls 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 |
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Dr Eric Owen Nicholls, OD
35298 N Sheridan Dr,
Ingleside, IL 60041-8760
Ph: (847) 858-6748 | Dr Eric Owen Nicholls, OD
3801 Running Brook Farm Blvd,
Johnsburg, IL 60051-5425
Ph: (815) 385-9224 |
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