DR. SARA KRISTEN NICHOLSON O.D.
NPI 1184682775
Optometrist in Racine, WI

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
4060 N MAIN ST, RACINE, WI 53402(262) 752-2020(262) 292-5019 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sara Kristen Nicholson O.d. NPPES

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

DR. SARA KRISTEN NICHOLSON O.D. (NPI 1184682775) is an individual optometrist in Racine, Wisconsin, licensed in Wisconsin (2990-035) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2004).

NPPES Registry Identity

NPI1184682775
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SARA KRISTEN NICHOLSONCredential: O.D.
Location Address4060 N MAIN STRacine, WI 53402-3121
Mailing Address1534 College AveRacine, WI 53403-1949 · (262) 989-9629
Fax(262) 292-5019
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2004
Enumeration DateMay 3, 2006
Last NPPES UpdateJune 24, 2008
NPI 1184682775 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 WI · 2990-035
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.
4060 N MAIN ST, Racine, WI 53402

Other Names 1

Former Name (1)Dr. Sara Kristen Legue O.d.

Other Identifiers 1

Medicare UPINV02337

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 and accepts Medicare assignment

Dr. Sara Kristen Nicholson O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688638612
PECOS Enrollment IDI20041118000518
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 53402 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 10

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

Dentist
4060 N MAIN ST, SUITE 102
RACINE, WI 53402
Optometrist
4060 N MAIN ST
RACINE, WI 53402
Dentist (General Practice)
4060 N MAIN ST, SUITE 102
RACINE, WI 53402
Ophthalmology
4060 N MAIN ST
RACINE, WI 53402
Ophthalmology
4060 N MAIN ST
RACINE, WI 53402
Acupuncturist
4060 N MAIN ST, SUITE106
RACINE, WI 53402
Acupuncturist
4060 N MAIN ST, SUITE 106
RACINE, WI 53402
Ophthalmology
4060 N MAIN ST
RACINE, WI 53402

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 Sara Nicholson's NPI number?

The NPI number for Sara Nicholson is 1184682775. It was assigned to this individual provider in the NPPES registry on May 3, 2006. The provider is also known as Dr. Sara Kristen Legue O.D..

Where is Sara Nicholson located?

Sara Nicholson practices at 4060 N Main St, Racine, WI 53402. The listed phone number is (262) 752-2020.

What is Sara Nicholson's specialty?

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

Is Sara Nicholson enrolled in Medicare?

Yes. Sara Nicholson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sara Nicholson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and HealthPartners and 1 other insurer list Sara Nicholson 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 Sara Nicholson was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.