Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Benjamin P Nicholson, MD, MA

Individual provider Ophthalmology Physician · NPI 1003016916

Dr. Benjamin P Nicholson, MD, MA is an Ophthalmology in Saint Joseph, Michigan. Graduated from Saint Louis University School of Medicine in 2007, 19 years ago. Practices with Great Lakes Eye Care PC, a 12-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Trained at
Saint Louis University School of Medicine
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2848 Niles Rd
Saint Joseph, MI 49085-3352
Phone: (269) 428-3300
Fax: (269) 428-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 4301106941 (MI)
Ophthalmology Physician Taxonomy 207W00000X · Licence 4301106941 (MI)

Record details

NPI number1003016916
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MA
Sole proprietorNo
NPI enumeratedJuly 19, 2007
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address2848 Niles Rd, Saint Joseph, MI 49085-3352

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Great Lakes Eye Care Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Joseph