Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NICKOLAS ANTHONY SCAVO O.D.
NPI 1164491478
Optometrist in Fullerton, CA

Q: What is Nickolas Scavo's NPI number?

The NPI number for Nickolas Scavo is 1164491478. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is Nickolas Scavo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nickolas Scavo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.

Active since March 17, 2006PECOS Enrolled

900 S HARBOR BLVD, FULLERTON, CA 92832(714) 525-9003(714) 525-8206 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Nickolas Anthony Scavo O.d. NPPES

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

DR. NICKOLAS ANTHONY SCAVO O.D. (NPI 1164491478) is an individual optometrist in Fullerton, California, licensed in California (OPT 8023 TPA) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164491478

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. NICKOLAS ANTHONY SCAVOCredential: O.D.

Location Address900 S HARBOR BLVDFullerton, CA 92832-3025

Mailing Address24673 Las PatranasYorba Linda, CA 92887-5114 · (714) 692-2631 · Fax (714) 692-5716

Phone(714) 525-9003

Fax(714) 525-8206

Sole ProprietorNo

Enumeration DateMarch 17, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1164491478 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 CA · OPT 8023 TPA

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.

900 S HARBOR BLVD, Fullerton, CA 92832

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Other Identifiers 1

OtherOPT 8023 TPACA · Optometry License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Nickolas Anthony Scavo O.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92832 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 8

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

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