Nicole Rist Collins, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NICOLE RIST COLLINS, OD, PLLC

Practice address

1433 Emerywood Dr
Charlotte, NC 28210-4105

Phone

(704) 553-2020

Fax

(980) 299-2150

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Rist Collins, ODNPI 1407208481

Title

Optometrist

Phone

(704) 553-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Rist Collins, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1407208481
  Medicare reassignment Care Compare group NPD Authorized official
• Yvonne Tracy Shook, OD

  • Optometrist
  • Charlotte, NC
  • NPI 1194830901
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1689444986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 EMERYWOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104105",
            "telephone_number": "704-553-2020",
            "fax_number": "980-299-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 EMERYWOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104105",
            "telephone_number": "704-553-2020",
            "fax_number": "980-299-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE RIST COLLINS, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "RIST",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "704-553-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy E Nicholson, LCSW
• Robyn Neill Nicholson, MA, LPCA
• Ashley V. Nickelson, CRNA
• Debra Anne Nickerson, NNP-BC
• Kristi Lynn Nicol, PA-C
• Michael Francis Nido, PA-C
• Albert O Niedan, DDS
• Alicia Konneker Nielsen, PA-C
• Hayden Michael Nielsen
• Lucas Christopher Nielsen, 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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.