DR. NICHOLAS E BEM OD
NPI 1164823142
Optometrist in Cannon Afb, NM

Active since September 10, 2014PECOS Enrolled
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103(575) 904-3881 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jul 22, 2020, Jul 2, 2018 (3 updates tracked since 2018).

About Dr. Nicholas E Bem Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS E BEM OD (NPI 1164823142) is an individual optometrist in Cannon Afb, New Mexico, licensed in Utah (11106297-9934) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164823142
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. NICHOLAS E BEMCredential: OD
Location Address27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L. INGRAM AVENUE, BLDG. 1408Cannon Afb, NM 88103
Mailing Address27th Special Operations Medical Group, 224 W D.l. Ingram Avenue, Bldg. 1408Cannon Afb, NM 88103
Sole ProprietorNo
Enumeration DateSeptember 10, 2014
Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
NPI 1164823142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in UT · 11106297-9934
Definition

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.

27TH SPECIAL OPERATIONS MEDICAL GROUP, Cannon Afb, NM 88103

Other Identifiers 2

Other11106297-9934UT · State Of Utah Department Of Commerce
Other2376NC · Nc Board Of Optometry

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicholas E Bem Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CLOVIS, NM 88103
Physician Assistant
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CLOVIS, NM 88103
Social Worker (Clinical)
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Psychologist (Clinical)
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 D. L. INGRAM AVE BLD. 1408
CANNON AFB, NM 88103
Pharmacist
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Physician Assistant
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG 1408
CANNON AFB, NM 88103
Specialist/Technologist (Athletic Trainer)
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Physician Assistant
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L. INGRAM AVENUE, BLG 1408
CANNON AFB, NM 88103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164823142, enumerated as an "individual" on September 10, 2014.

The provider is located at 27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W D.L. INGRAM AVENUE, BLDG. 1408 CANNON AFB, NM 88103 and the phone number is (575) 904-3881.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.