Edward R Nicholls, OD - Medicare Optometrist in American Fork, UT

Edward R Nicholls, OD is a medicare enrolled "Optometrist" provider in American Fork, Utah. His current practice location is 323 W State Rd Ste A, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 763-9898.

Edward R Nicholls is licensed to practice in Utah (license number 8746430-9934) 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 1376981175.

Contact Information

Edward R Nicholls, OD
323 W State Rd Ste A,
American Fork, UT 84003-5600
(801) 763-9898
(801) 763-7217



Healthcare Provider's Profile

Full NameEdward R Nicholls
GenderMale
SpecialityOptometrist
Location323 W State Rd Ste A, American Fork, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376981175
  • Provider Enumeration Date: 06/13/2013
  • Last Update Date: 10/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901035351
  • Enrollment ID: I20140204001847

Medical Identifiers

Medical identifiers for Edward R Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376981175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 8746430-9934 (Utah)Primary

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. Edward R Nicholls allows following entities to bill medicare on his behalf.
Provider NameUniversity Of Utah Adult Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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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. Edward R 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 AddressPractice Location Address
Edward R Nicholls, OD
323 W State Rd Ste A,
American Fork, UT 84003-5600

Ph: (801) 763-9898
Edward R Nicholls, OD
323 W State Rd Ste A,
American Fork, UT 84003-5600

Ph: (801) 763-9898

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Optometrist in American Fork, UT

Dr. Paul A. Paxman, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 24 W Main St, American Fork, UT 84003
Phone: 801-756-7996    
Clear View Vision Center
Optometrist
Medicare: Medicare Enrolled
Practice Location: 60 S 200 E, American Fork, UT 84003
Phone: 801-756-4731    Fax: 801-756-5865
Dr. Kenneth E Hooton, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 60 S 200 E, American Fork, UT 84003
Phone: 801-756-4731    Fax: 801-756-5865
Tyler Meek, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 60 S 200 E, American Fork, UT 84003
Phone: 801-756-4731    
American Fork Vision Center Inc.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 24 W Main St, American Fork, UT 84003
Phone: 801-756-7996    
Dr. Marlyn Andrew Kyle, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 24 W Main St, American Fork, UT 84003
Phone: 801-756-7996    

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