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

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: July 26, 2026.

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 AvMed, Providence Health Plan.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. 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.

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.

What insurance does Ryan Nicholas accept?

Health plans from AvMed and Providence Health Plan 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 with the weekly NPPES data releases published by CMS.