DR. NICOLE ELISE TAKITA OD
NPI 1114540762
Optometrist in Dublin, PA

Active since May 18, 2020PECOS Enrolled
174 N MAIN ST, DUBLIN, PA 18917(215) 249-3937 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2020, May 18, 2020 (2 updates tracked since 2020).

About Dr. Nicole Elise Takita Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE ELISE TAKITA OD (NPI 1114540762) is an individual optometrist in Dublin, Pennsylvania, licensed in Pennsylvania (OEG003674) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Yardley.

NPPES Registry Identity

NPI1114540762
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. NICOLE ELISE TAKITACredential: OD
Location Address174 N MAIN STDublin, PA 18917-2001
Mailing Address174 N Main StDublin, PA 18917-2001
Sole ProprietorNo
Enumeration DateMay 18, 2020
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
NPI 1114540762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in PA · OEG003674
Definition
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.
174 N MAIN ST, Dublin, PA 18917

Other Names 1

Former Name (1)Nicole Elise Gruzin

Secondary Practice Location 1

Location 1710 Floral Vale BlvdYardley, PA 19067-5529 · Phone (215) 240-6378

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicole Elise Takita Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
174 N MAIN ST
DUBLIN, PA 18917
Optometrist
174 N MAIN ST
DUBLIN, PA 18917
Optometrist
174 N MAIN ST
DUBLIN, PA 18917
Chiropractor
174 N MAIN ST, SUITE C-2
DUBLIN, PA 18917
Optometrist
174 N MAIN ST
DUBLIN, PA 18917
Optometrist
174 N MAIN ST
DUBLIN, PA 18917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Takita's NPI number?

The NPI number for Nicole Takita is 1114540762. It was assigned to this individual provider in the NPPES registry on May 18, 2020. The provider is also known as Nicole Elise Gruzin.

Where is Nicole Takita located?

Nicole Takita practices at 174 N Main St, Dublin, PA 18917. The listed phone number is (215) 249-3937.

What is Nicole Takita's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicole Takita enrolled in Medicare?

Yes. Nicole Takita is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Takita accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Nicole Takita as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Takita was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.