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DR. NICOLE KELSY ANTONIO OD
NPI 1699412841
Optometrist in Modesto, CA

Active since May 18, 2022PECOS Enrolled
809 SYLVAN AVE STE 103, MODESTO, CA 95350(209) 524-0100 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Kelsy Antonio Od NPPES

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

DR. NICOLE KELSY ANTONIO OD (NPI 1699412841) is an individual optometrist in Modesto, California, licensed in California (35566) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2023).

NPPES Registry Identity

NPI1699412841
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. NICOLE KELSY ANTONIOCredential: OD
Location Address809 SYLVAN AVE STE 103Modesto, CA 95350-1500
Mailing Address2020 Canyon Lake DrModesto, CA 95355-1887 · (808) 640-0363
Phone(209) 524-0100
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2023
Enumeration DateMay 18, 2022
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1699412841 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 · 35566
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.
809 SYLVAN AVE STE 103, Modesto, CA 95350
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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 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 (PECOS)

Dr. Nicole Kelsy Antonio Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002261641
PECOS Enrollment IDI20231017001333
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
84 services84 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
24 services24 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 Nicole Antonio's NPI number?

The NPI number for Nicole Antonio is 1699412841. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Where is Nicole Antonio located?

Nicole Antonio practices at 809 Sylvan Ave Ste 103, Modesto, CA 95350. The listed phone number is (209) 524-0100.

What is Nicole Antonio's specialty?

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

Is Nicole Antonio enrolled in Medicare?

Yes. Nicole Antonio is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Antonio 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 and Providence Health Plan list Nicole Antonio 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 Nicole Antonio was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.