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

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

Other identifiers 1

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 and National Provider Directory roles.

• Mednic PC

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

  • 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023141",
            "state": "WA"
        }
    ],
    "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.