Healthcare Provider Details

I. General information

NPI: 1184510554
Provider Name (Legal Business Name): MADSEN NICHOLAS CHEEVER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U.S. ARMY HEALTH CLINIC HOHENFELS UNIT 28216
HOHENFELS GERMANY
09173
DE

IV. Provider business mailing address

6102 S ROYAL POINT DR
KINGWOOD TX
77345-3323
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-3300
  • Fax:
Mailing address:
  • Phone: 713-865-3765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOD.OD.70000120
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: