MEDICARE: NICHOLAS EYE CLINIC, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	410044611	OTHER	OK	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1487789913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICHOLAS EYE CLINIC, PLLC

Provider Business Mailing Address
First Line	:	1204 W WILLOW RD
Second Line	:	SUITE A
City	:	ENID
State	:	OK
Zip	:	73703-2531
Country	:	US
Telephone Number	:	580-234-2333
Fax Number	:	580-234-0820

Provider Business Practice Location Address
First Line	:	1204 W WILLOW RD
Second Line	:	SUITE A
City	:	ENID
State	:	OK
Zip	:	73703-2531
Country	:	US
Telephone Number	:	580-234-2333
Fax Number	:	580-234-0820

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	VALARIE NICHOLAS
Credential	:
Telephone Number	:	580-234-2333

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	02/04/2010

Similar Medicare Providers

1184622235 — DR. THOMAS M NICHOLAS II O.D.
Practice Location Address:

1204 W WILLOW RD , SUITE A
ENID, OK
73703-2531

Practice Phone: 580-234-2333
Practice Fax: 580-234-0820

1083683569 — LISA SCHEYER MATSON M.D.
Practice Location Address:

1204 W WILLOW RD , SUITE B
ENID, OK
73703-2531

Practice Phone: 580-237-4100
Practice Fax: 580-237-4109

1467540674 — THOMAS MICHAEL NICHOLAS OD
Practice Location Address:

1204 W WILLOW RD , SUITE A
ENID, OK
73703-2531

Practice Phone: 580-234-2333
Practice Fax: 580-234-0820

1306998893 — DR. LISA RENEE GRIMES D.D.S.
Practice Location Address:

1204 W WILLOW RD , STE. C
ENID, OK
73703-2531

Practice Phone: 580-233-1427
Practice Fax: 580-233-1423

1891082152 — REITZ NEUROLOGY PLLC
Practice Location Address:

1204 W WILLOW RD , SUITE C
ENID, OK
73703-2531

Practice Phone: 580-237-0549
Practice Fax: 580-237-7851

1043763436 — CHASE RATZLAFF O.D.
Practice Location Address:

1204 W WILLOW RD STE A
ENID, OK
73703-2531

Practice Phone: 580-234-2333
Practice Fax:

Directions to “NICHOLAS EYE CLINIC, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.