OrganizationActive
Gary Nickel, OD, PA
NPI 1538309620 · Durable Medical Equipment & Medical Supplies · Independence, KS
Provider details
- NPI number
- 1538309620
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Gary Nickel, Optomtrist(620) 331-0910
- License
- 09562 (KS)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
404 N 14th St
Independence, KS 67301-2909
Phone: (620) 331-0910
Fax: (620) 331-2121
Street-level locationGet directions
Mailing address
Po Box 474
Independence, KS 67301-0474
Registry dates
- Enumerated
- 2009-03-02
- Last updated
- 2009-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.