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

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: August 09, 2026.

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 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 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.

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.

What insurance does Nicole Sidock 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 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.