Nichols Optical Inc
NPI 1679558712ActiveOrganization· Optometrist· Traverse City, MI
Optometrist in Traverse City, Michigan, registered in NPPES in December 2005. The authorized official on file is Lori A. Wirth, General Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679558712 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2005 |
| Last updated in NPPES | May 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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