Katrina Anne Nichols, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1370 Issued in AZ

Practice address

549 E 10TH St
Douglas, AZ 85607-2009

Phone

(520) 364-3892

Fax

(520) 805-4427

NPI assigned

May 4, 2006

Last updated

Sep 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Douglas Primary Eye Care PCGroup PAC ID 4082808340, 3 clinicians

Myeyedr Optometry of Washington PLLCGroup PAC ID 4486186657, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas Primary Eye Care PC

  • Optometrist
  • Douglas, AZ
  • NPI 1750692877
  Medicare reassignment Care Compare group Authorized official
• Myeyedr Optometry of Washington, PLLC

  dba MyEyeDr.

  • Optometrist
  • Phoenix, AZ
  • NPI 1053156729
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Ogden, UT
  • NPI 1942151998
  NPD
• Barry D. Blonder O.D., P.C.

  • Optometrist
  • Tucson, AZ
  • NPI 1407017007
  NPD (past)
• Robert Iverson OD PC

  dba Fashion Eye Center

  • Optometrist
  • Tucson, AZ
  • NPI 1861965220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1093773285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 E CIRCLE L RANCH PL",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856418939",
            "telephone_number": "520-349-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E 10TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072009",
            "telephone_number": "520-364-3892",
            "fax_number": "520-805-4427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7041 E Tanque Verde Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857155311",
            "country_code": "US",
            "telephone_number": "520-298-3028",
            "fax_number": "520-325-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4413 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857113507",
            "country_code": "US",
            "telephone_number": "520-322-2713",
            "fax_number": "520-325-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 E University Blvd Ste 241",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857190521",
            "country_code": "US",
            "telephone_number": "520-621-3253",
            "fax_number": "520-325-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KATRINA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Aglae Morales, LMSW
• Paulina Moreno Guillen, RD
• Mario Moreno, ANP
• Anyangatia Ndobegang, PHARMA
• Mitchell Paul Nelson, M. ED.; A.T.
• Victoria L Ochoa, FNP
• Pamela Oliphant
• Carlos Edward Orendain, PHARM BS
• Zachary Sean Patterson, M.D.
• Carlos Ernesto Pena, PA

• Optometrist in Douglas, AZ
• Providers in Douglas, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.