Nicole Rist Collins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2478 Issued in NC

Practice address

8316 Medical Plaza Dr
Charlotte, NC 28262-6702

Phone

(704) 547-1551

NPI assigned

Jul 1, 2016

Sex

Female

Sole proprietor

Yes

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 NC

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

Pennsylvania College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nicole Rist Collins, OD, PLLCGroup PAC ID 5092155663, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Nicole Rist Collins, OD, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1689444986
  Medicare reassignment Care Compare group NPD Authorized official
• University Eye Associates OD, PA

  • Optometrist
  • Charlotte, NC
  • NPI 1831157866
  Medicare reassignment NPD
• University Eye Associates, OD PA

  • Optometrist
  • Davidson, NC
  • NPI 1912965989
  NPD

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1407208481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 GAYLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282127131",
            "telephone_number": "518-774-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 MEDICAL PLAZA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626702",
            "telephone_number": "704-547-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1433 Emerywood Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282104105",
            "country_code": "US",
            "telephone_number": "704-553-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NICOLE",
        "middle_name": "RIST",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Nicole Collins
• Lauren Collins
• Mary Nicole Collins, LPC
• Megan Michelle Collins, MD
• Meghan Doren Collins, PA-C
• Porsche Renna Collins, LCSW
• Richard Emerson Collins III, MD
• Robert P Collins, PHD
• Shenequa Jena Collins, LCSWA
• Vasiliki Stabolitis Collins, MD

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.