Active NPI
Dr. Eric Nicholls and Associates, P.C.
- Pediatric Optometrist
- Gurnee, IL
National Provider Identifier
1982738183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 46009345
- Legal business name
- DR. ERIC NICHOLLS AND ASSOCIATES, P.C.
- Practice address
- 6590 Grand Ave.
Gurnee, IL 60031 - Phone
- (847) 855-1233
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Owen Nicholls, OD
- Title
- President
- Phone
- (847) 858-6748
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 46009345 | IL | |
| Corneal and Contact Management Optometrist | 152WC0802X | 46009645 | IL | |
| Pediatric Optometrist | 152WP0200X | 46009345 | IL | Primary |
Addresses
Primary practice location
6590 Grand Ave.
Gurnee, IL 60031
Mailing address
22961 Long Grove Rd.
Deer Park, IL 60010
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- McHenry, IL
- NPI 1023124518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1982738183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22961 LONG GROVE RD.",
"city": "DEER PARK",
"state": "IL",
"postal_code": "60010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6590 GRAND AVE.",
"city": "GURNEE",
"state": "IL",
"postal_code": "60031",
"telephone_number": "847-855-1233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. ERIC NICHOLLS AND ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "NICHOLLS",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "OWEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-858-6748",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "46009345",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IL",
"license": "46009645",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "IL",
"license": "46009345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.