DR. SARA KRISTEN NICHOLSON (NPI# 1184682775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184682775 |
| Entity Type | Individual |
| Full Name | DR. SARA KRISTEN NICHOLSON |
| Other Name | DR. SARA KRISTEN LEGUE |
| Credential | O.D. |
| Practice Address |
4060 N Main St Racine WI 53402-3121 |
| Mailing Address |
1534 College Ave Racine WI 53403-1949 |
| Practice Telephone | 2627522020 |
| Practice Fax Number | 2622925019 |
| Mailing Telephone | 2629899629 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2990-035 | WI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508176033 | Sara Jean Nicholson | Physical Therapy Assistant | 213 Heritage Ln, Circle Pines, MN 55014-5007 | 2010-10-18 |
| Street Address |
4060 N MAIN ST |
| City | RACINE |
| State | WI |
| Zip Code | 53402-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967470 | Ronald L Allen | Ophthalmology | 4060 N Main St, Racine, WI 53402-3121 | 2005-07-21 |
| 1740443704 | Eye Care Surgical Consulting Sc | Ophthalmology | 4060 N Main St, Racine, WI 53402-3121 | 2008-07-09 |
| 1114189750 | Warren Eye Care | Optometrist | 4060 N Main St, Racine, WI 53402-3121 | 2008-06-25 |
| 1023211026 | Leonardo Huck | Dentist | 4060 N Main St, Suite 102, Racine, WI 53402-3121 | 2007-06-07 |
| 1699984500 | Jill Jelinek | Acupuncturist | 4060 N Main St, Suite 106, Racine, WI 53402-3121 | 2007-05-21 |
| 1659580462 | Stephanie Lynn Smith-whybark | Acupuncturist | 4060 N Main St, Suite106, Racine, WI 53402-3121 | 2007-05-21 |
| 1417070665 | Robin D Knodel | Dentist | 4060 N Main St, Suite 102, Racine, WI 53402-3121 | 2007-04-10 |
| 1821113697 | John Warren, Od Sc | Optometrist | 4060 N Main St, Racine, WI 53402-3121 | 2007-03-20 |
| 1578606810 | Eye Care Surgical Consulting, S.c. | Ophthalmology | 4060 N Main St, Racine, WI 53402-3121 | 2007-02-15 |
| 1881752202 | K Thomas Keller Dc Sc | Chiropractor | 4060 N Main St, Racine, WI 53402-3121 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586847 | Jennifer Ann Wagener | Technician | 1513 Melvin Ave, Racine, WI 53402 | 2019-09-06 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1154852069 | Golden Path Services | Home Health | 1700 North Main Street, Upper, Racine, WI 53402 | 2017-03-22 |
| 1376842690 | Vashir Jim Xiong | Acupuncturist | 3726 Ruby Ave, Racine, WI 53402 | 2011-03-25 |
| 1215248927 | Andrew M Asbury | Family Medicine | 2408 Four Mile Rd, Racine, WI 53402 | 2010-06-28 |
| 1215058532 | Lakeshore Family Dental Care Sc | Dentist | 3903 Douglas Ave, Racine, WI 53402 | 2007-04-03 |
| 1679626915 | David Ramon Reesman | Dentist | 3900 North Bay Dr, Racine, WI 53402 | 2007-01-19 |
| 1639286958 | Mary E Pagano | Internal Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-23 |
| 1881605111 | Caledonia Chiropractic Clinic, Sc | Chiropractor | 5401 Douglas Ave, Suite A, Racine, WI 53402 | 2006-08-11 |
| 1003923996 | David C Zablotney | Family Medicine | 5333 Douglas Ave, Racine, WI 53402 | 2006-08-24 |
| Find all providers in zip 53402 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285079673 | Dr. Marguerite Richardson, Od, LLC | Optometrist | 5600 Durand Ave, Racine, WI 53406-5053 | 2013-04-30 |
| 1831406669 | Ayers Eye Care, L.L.C. | Optometrist | 2408 Drexel Ave, Racine, WI 53403-2923 | 2010-08-31 |
| 1629114186 | Pearle Vision Inc | Optometrist | 5744 Durand Ave, Racine, WI 53406-5054 | 2007-01-30 |
| 1003904483 | Robert G. Mahoney | Optometrist | 4304 Taylor Ave, Racine, WI 53405-4641 | 2006-10-10 |
| 1356355234 | Kristine M Evans | Optometrist | 3905 Douglas Ave, Racine, WI 53402-3230 | 2006-07-28 |
| 1447200456 | Heidi Anne Shufelt | Optometrist | 4801 Washington Ave, Racine, WI 53406-4219 | 2006-05-11 |
| 1740254267 | Melanie A. Weese | Optometrist | 109 N 3rd St, Racine, OH 45771-0880 | 2006-02-13 |
| 1669450151 | Robert E. Elliott | Optometrist | 2722 Old Mill Dr, Racine, WI 53405-1320 | 2006-01-04 |
| 1679558282 | Dean Alan Rosenberg | Optometrist | 217 6th St, Racine, WI 53403-1213 | 2005-12-07 |
| 1447246046 | Jon Robert Wegner | Optometrist | 1120 Grove Ave, Racine, WI 53405-3028 | 2005-09-20 |
| Find all providers in RACINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.