Stephen L Nichols, OD | |
7504 Antioch Rd, Overland Park, KS 66204-2622 | |
(913) 341-3100 | |
(913) 341-6818 |
Full Name | Stephen L Nichols |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 26 Years |
Location | 7504 Antioch Rd, Overland Park, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568459469 | NPI | - | NPPES |
410045508 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1578-3 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kansas City Eye Clinic, P.a. | 0143206102 | 8 |
Provider Name | Kansas City Eye Clinic, P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063622124 PECOS PAC ID: 0143206102 Enrollment ID: O20040813001016 |
Mailing Address | Practice Location Address |
---|---|
Stephen L Nichols, OD Po Box 803861, Kansas City, MO 64180-3861 Ph: (913) 341-3100 | Stephen L Nichols, OD 7504 Antioch Rd, Overland Park, KS 66204-2622 Ph: (913) 341-3100 |
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