Elizabeth Nichols, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

EN002584 Issued in MI

Practice address

3200 S Airport Rd W
146
Traverse City, MI 49684-8117

Phone

(231) 941-5440

Fax

(231) 941-0893

NPI assigned

Dec 14, 2005

Last updated

Jul 13, 2026By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164407813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W FRONT ST",
            "address_2": "146",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842204",
            "telephone_number": "231-941-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S AIRPORT RD W",
            "address_2": "146",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848117",
            "telephone_number": "231-941-5440",
            "fax_number": "231-941-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "EN002584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1808535",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Nicholls
• Lindsay Allison Nicholls, RN
• Nichols Optical Inc
• Nichols Optical Inc (TraverseVision)
• Cynthia Nichols, PHD
• Beth A Nickerson
• Rebekah Nickerson
• David Darwin Nicolaou, MD
• Nicole Ball Counseling, PLLC (Mental Wellness Counseling)
• Matthew Burns Nielsen, PHARMD

• Optometrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.