Robert A Nicacio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001808TX Issued in WA

Practice address

225 NE 4TH Ave
Camas, WA 98607-2125

Phone

(360) 834-2063

Fax

(360) 834-5375

NPI assigned

Jun 6, 2006

Last updated

Jun 17, 2013By the provider in NPPES

Sex

Male

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 WA

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mednic PCGroup PAC ID 5193718393, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mednic PC

  dba Downtown Vision Centre

  • Optometrist
  • Vancouver, WA
  • NPI 1831308790
  Medicare reassignment Care Compare group NPD
• Mednic, PC

  dba Camas Vision Centre

  • Optometrist
  • Camas, WA
  • NPI 1588822548
  NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1841239720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603136",
            "telephone_number": "360-694-6541",
            "fax_number": "360-696-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NE 4TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072125",
            "telephone_number": "360-834-2063",
            "fax_number": "360-834-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICACIO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001808TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Nevin, DDS
• New Results Coaching
• Jason Newman
• An Nguyen, DO
• Dustin Duy Nguyen, D.O.
• Diana L Nicorici
• North Star Nurse Delegation
• Northwest Beauty Concepts
• Northwest Oral Health PC
• Karin Laimer Nosrati, DC

• Optometrist in Camas, WA
• Providers in Camas, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.