Nicole B Scales, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004697 Issued in MI

Practice address

120 Marcell Dr NE Ste a
Rockford, MI 49341-1362

Phone

(616) 866-0140

Fax

(616) 866-8694

NPI assigned

Jun 7, 2012

Last updated

Sep 15, 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

Medicare fee-for-service enrollment

Enrolled in MI

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

Indiana University - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fowle Eyecare Associates, PLCGroup PAC ID 7012329725, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Fowle Eyecare Associates PLC

  • Optometrist
  • Rockford, MI
  • NPI 1780888081
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1639430564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MARCELL DR NE STE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411362",
            "telephone_number": "616-866-0140",
            "fax_number": "616-866-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MARCELL DR NE STE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411362",
            "telephone_number": "616-866-0140",
            "fax_number": "616-866-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES",
        "first_name": "NICOLE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sageoak Health PLLC
• Sambercare, LLC
• Sophia Marie Sampson, BEHAVIOR TECHNICIAN
• Robert Manson Sandison, PT
• Sydney T Savage, PT
• Nichole Vena Scalzo
• Scott Schauland, LAC
• Ryan Schmich
• Bonnie Schmidt
• Mackenzie Schoonmaker, BEHAVIOR TECHNICIAN

• Optometrist in Rockford, MI
• Providers in Rockford, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.