DR. NICHOLAS ROY WALWORTH O.D.
NPI 1295980423
Optometrist in Menifee, CA

Q: What is Nicholas Walworth's NPI number?

The NPI number for Nicholas Walworth is 1295980423. It was assigned to this individual provider in the NPPES registry on December 2, 2008.

Q: What is Nicholas Walworth'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 Nicholas Walworth was last updated on September 18, 2019. 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.

Active since December 02, 2008PECOS EnrolledAccepts Medicare Assignment

30141 ANTELOPE RD STE G, MENIFEE, CA 92584(951) 679-6910 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Nicholas Roy Walworth O.d. NPPES

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

DR. NICHOLAS ROY WALWORTH O.D. (NPI 1295980423) is an individual optometrist in Menifee, California, licensed in California (13632 TPA) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Menifee, and is a graduate of New England College Of Optometry (2008).

NPPES Registry Identity

NPI1295980423

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. NICHOLAS ROY WALWORTHCredential: O.D.

Location Address30141 ANTELOPE RD STE GMenifee, CA 92584-8066

Mailing Address30141 Antelope Rd Ste GMenifee, CA 92584-8066 · (951) 679-6910

Phone(951) 679-6910

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2008

Enumeration DateDecember 2, 2008

Last NPPES UpdateSeptember 18, 2019

✔ NPI 1295980423 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 · 13632 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.

30141 ANTELOPE RD STE G, Menifee, CA 92584

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Secondary Practice Location 1

Location 130145 Antelope Rd Ste 105Menifee, CA 92584-8065 · Phone (951) 679-6910

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Nicholas Roy Walworth 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 ID6901936889

PECOS Enrollment IDI20100621000300

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 92584 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 2

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

DR. ANDREW TUAN NGUYEN DMD

Dentist (General Practice)

30141 ANTELOPE RD STE G
MENIFEE, CA 92584

Riverside County (951) 246-8242

ML OPTOMETRY INC

Optometrist

30141 ANTELOPE RD STE G
MENIFEE, CA 92584

Riverside County (951) 679-6910

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 Nicholas Walworth's NPI number?

The NPI number for Nicholas Walworth is 1295980423. It was assigned to this individual provider in the NPPES registry on December 2, 2008.

Where is Nicholas Walworth located?

Nicholas Walworth practices at 30141 Antelope Rd Ste G, Menifee, CA 92584. The listed phone number is (951) 679-6910.

What is Nicholas Walworth's specialty?

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

Is Nicholas Walworth enrolled in Medicare?

Yes. Nicholas Walworth 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 Nicholas Walworth 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 1 other insurer list Nicholas Walworth 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 Nicholas Walworth was last updated on September 18, 2019. 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.