DR. RYAN ALEXANDER NICHOLAS O.D.
NPI 1205242500
Optometrist in Lady Lake, FL

Q: What is Ryan Nicholas's NPI number?

The NPI number for Ryan Nicholas is 1205242500. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Q: What is Ryan Nicholas'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 Ryan Nicholas was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 08, 2014PECOS Enrolled

574 N US HIGHWAY 441, LADY LAKE, FL 32159(352) 350-5298 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Ryan Alexander Nicholas O.d. NPPES

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

DR. RYAN ALEXANDER NICHOLAS O.D. (NPI 1205242500) is an individual optometrist in Lady Lake, Florida, licensed in Florida (OPC5007) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205242500

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RYAN ALEXANDER NICHOLASCredential: O.D.

Location Address574 N US HIGHWAY 441Lady Lake, FL 32159-3776

Mailing Address2524 Saint Ignatius CtOrlando, FL 32835-6500 · (909) 542-5208

Phone(352) 350-5298

Sole ProprietorNo

Enumeration DateJuly 8, 2014

Last NPPES UpdateJanuary 20, 2015

✔ NPI 1205242500 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 FL · OPC5007

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.

574 N US HIGHWAY 441, Lady Lake, FL 32159

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Alexander Nicholas 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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Nicholas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Doctors Optical Outlets PA

Same address

Optometrist

586 N HWY 27/441
Lady Lake, FL 32159

Reassigned Medicare billing, Florida enrollment
229 clinicians in this Medicare group

NPI 1811188725 (352) 350-5298

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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 Ryan Nicholas's NPI number?

The NPI number for Ryan Nicholas is 1205242500. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is Ryan Nicholas located?

Ryan Nicholas practices at 574 N Us Highway 441, Lady Lake, FL 32159. The listed phone number is (352) 350-5298.

What is Ryan Nicholas's specialty?

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

Is Ryan Nicholas enrolled in Medicare?

Yes. Ryan Nicholas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Nicholas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Nicholas reassigns Medicare benefits to Eye Doctors Optical Outlets PA (Lady Lake, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Nicholas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Nicholas accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Ryan Nicholas 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 Ryan Nicholas was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.