DR. JAMES R. NICKOL DR. FRANK L. WEIDEMA OPTOMETRISTS, P.A.
NPI 1710973771
Optometrist in Pocomoke City, MD

NPI Status: Active since September 26, 2005

Contact Information

1518 MARKET ST
POCOMOKE CITY, MD
ZIP 21851
Phone: (410) 957-1113
Fax: (410) 957-4794

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  • Organization
  • Optometrist
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About DR. JAMES R. NICKOL DR. FRANK L. WEIDEMA OPTOMETRISTS, P.A.

This page provides the complete NPI Profile along with additional information for Dr. James R. Nickol Dr. Frank L. Weidema Optometrists, P.a., a provider established in Pocomoke City, Maryland operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1710973771 assigned on September 2005. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Dr. Frank Linsday Weidema O.d, (President)

NPI
1710973771
Provider Legal Name
DR. JAMES R. NICKOL DR. FRANK L. WEIDEMA OPTOMETRISTS, P.A.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1518 MARKET ST POCOMOKE CITY, MD 21851
Location Phone
(410) 957-1113
Location Fax
(410) 957-4794
Mailing Address
1518 MARKET ST POCOMOKE CITY, MD 21851
Mailing Phone
(410) 957-1113
Mailing Fax
(410) 957-4794
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2005
Last Update Date
02-06-2025
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Dr. James R. Nickol Dr. Frank L. Weidema Optometrists, P.a. is a medicare supplier with PTAN 20570639 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License State
MD
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FRANK LINSDAY WEIDEMA O.D,

Authorized Official Title
PRESIDENT
Authorized Official Phone
(410) 957-1113

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20570639
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses

Reviews for DR. JAMES R. NICKOL DR. FRANK L. WEIDEMA OPTOMETRISTS, P.A.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710973771
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201876714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 7 + 6 + 7 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1710973771 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588650105DR. FRANK LINSDAY WEIDEMA O.D.
Individual
Optometrist1518 MARKET ST
POCOMOKE, MD 21851
(410) 957-1113
1942296991DR. JAMES ROBERT NICKOL O.D.
Individual
Optometrist1518 MARKET ST
POCOMOKE CITY, MD 21851
(410) 957-1113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710973771, enumerated in the NPI registry as an "organization" on September 26, 2005

The provider is located at 1518 Market St Pocomoke City, Md 21851 and the phone number is (410) 957-1113

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 26, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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