Kristen Coleen Nicholson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2132 Issued in CO

Practice address

6290 S Main St
Suie 100
Aurora, CO 80016-5322

Phone

(303) 766-0545

Fax

(303) 766-0624

NPI assigned

May 4, 2006

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 CO

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

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southlands Vision AssociatesGroup PAC ID 6709880792, 5 clinicians

Altitude Eye CareGroup PAC ID 2365778065, 6 clinicians

Practice addresses (Care Compare)

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.

• Altitude Eye Care

  dba Altitude Eye Care at Park Meadows

  • Optometrist
  • Lone Tree, CO
  • NPI 1235797796
  Medicare reassignment Care Compare group NPD Authorized official
• Southlands Vision Associates

  dba Altitude Eye Care at Southlands

  • Optometrist
  • Aurora, CO
  • NPI 1184645178
  Medicare reassignment Care Compare group NPD Authorized official
• Altitude Eye Care at Castlerock, PLLC

  • Optometrist
  • Castle Rock, CO
  • NPI 1679187850
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1700834538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 S MAIN ST",
            "address_2": "STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165379",
            "telephone_number": "303-766-0545",
            "fax_number": "303-766-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 S MAIN ST",
            "address_2": "SUIE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165322",
            "telephone_number": "303-766-0545",
            "fax_number": "303-766-0624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8405 Park Meadows Center Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245025",
            "country_code": "US",
            "telephone_number": "303-649-9500",
            "fax_number": "303-649-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "KRISTEN",
        "middle_name": "COLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nichols
• Robbi D Nichols, NP
• Spencer Nichols, RBT
• Chad Ellis Nicholson, O.D.
• Kayla Nicholson, NP
• Lindsay K Nicholson, MD
• Oliver Levi Nicholson, LSW
• Alex Edwin Alan Nickel
• Thu Nickel, PHARMD
• Nickes Medical Supply, LLC

• Optometrist in Aurora, CO
• Providers in Aurora, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.