DR. NICOLE C SIDOCK O.D.
NPI 1700914504
Optometrist in Moline, IL

Q: What is Nicole Sidock's NPI number?

The NPI number for Nicole Sidock is 1700914504. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Nicole Sidock'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 Nicole Sidock was last updated on May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 01, 2007PECOS Enrolled

4406 16TH ST, MOLINE, IL 61265(309) 762-2020(309) 762-2022 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Nicole C Sidock O.d. NPPES

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

DR. NICOLE C SIDOCK O.D. (NPI 1700914504) is an individual optometrist in Moline, Illinois, licensed in Illinois (046009589) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2002).

NPPES Registry Identity

NPI1700914504

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. NICOLE C SIDOCKCredential: O.D.

Location Address4406 16TH STMoline, IL 61265-7012

Mailing Address4406 16th StMoline, IL 61265-7012 · (309) 762-2020 · Fax (309) 762-2022

Phone(309) 762-2020

Fax(309) 762-2022

Sole ProprietorYes

Medical School CMSIndiana University - School Of OptometryGraduated 2002

Enumeration DateMarch 1, 2007

Last NPPES UpdateMay 20, 2010

✔ NPI 1700914504 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 IL · 046009589

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.

4406 16TH ST, Moline, IL 61265

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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. Nicole C Sidock O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42752651

PECOS Enrollment IDI20240611002964, I20250823000017

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 Reassignments

Medicare enrollment records show Nicole Sidock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vep Il Optometric LLC

106 mi

Optometrist

101 N VETERANS PKWY
Bloomington, IL 61704

Reassigned Medicare billing, Illinois enrollment
36 clinicians in this Medicare group

NPI 1528536620 (309) 663-2700

Augustin Eye Care Plc

116 mi

Optometrist

2027 CROSSROADS BLVD
Waterloo, IA 50702

Reassigned Medicare billing, Iowa enrollment
3 clinicians in this Medicare group

NPI 1881015311 (319) 505-2142

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 61265 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 3

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

VEP IL OPTOMETRIC LLC

Optometrist

4406 16TH ST
MOLINE, IL 61265

Rock Island County (309) 762-2020

ONEOPTO IL 2 PLLC

Optometrist

4406 16TH ST
MOLINE, IL 61265

Rock Island County (309) 762-2020

HW HOLDINGS

Eyewear Supplier

4406 16TH ST
MOLINE, IL 61265

Rock Island County (309) 762-2020

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 Sidock's NPI number?

The NPI number for Nicole Sidock is 1700914504. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Nicole Sidock located?

Nicole Sidock practices at 4406 16th St, Moline, IL 61265. The listed phone number is (309) 762-2020.

What is Nicole Sidock's specialty?

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

Is Nicole Sidock enrolled in Medicare?

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

Which organizations bill Medicare for Nicole Sidock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sidock reassigns Medicare benefits to 2 organizations: Vep Il Optometric LLC (Bloomington, IL) and Augustin Eye Care Plc (Waterloo, IA). Each 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 Nicole Sidock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Sidock accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Nicole Sidock 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 Sidock was last updated on May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.