Carl V. Nicholson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2113 Issued in SC

Practice address

709 E Colorado Blvd Ste 101
Pasadena, CA 91101-2125

Phone

(626) 795-3453

Fax

(626) 795-0047

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.15 of 100Reported as group

Quality

100

Improvement activities

40

Cost

83.84

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cnicholson@metrolina.intellechartdirect.net

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.

• Mark Kislinger M.D., Inc.

  dba Foothill Eye Care Services

  • Ophthalmology Physician
  • Glendora, CA
  • NPI 1215089594
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1457436537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 E COLORADO BLVD STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012125",
            "telephone_number": "626-795-3453",
            "fax_number": "626-795-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E COLORADO BLVD STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012125",
            "telephone_number": "626-795-3453",
            "fax_number": "626-795-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "CARL",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "152W00000X",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivi Nguyen
• Jonathan Shey-Sen Ni, MD
• Nicali Chiropractic and Wellness a Professional Corporation
• Sheela Nicasio
• Tyler Elisabeth Nicchi, MFT
• Christa Ruth Nickel, AUD
• Kendra Nickerson, PHD
• Richard Emery Nickowitz, MD
• Laura N Nicolaides
• Lakana S Nicolas, MHRS

• Optometrist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.