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ALEXIS NICOLE DICKERSON
NPI 1760313498
Optometrist in Caledonia, MI

Active since May 29, 2026PECOS Enrolled
6125 ROYALTON DR SE, CALEDONIA, MI 49316(616) 570-1780 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Jul 9, 2026, May 29, 2026 (3 updates tracked since 2026).

About Alexis Nicole Dickerson NPPES

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

ALEXIS NICOLE DICKERSON (NPI 1760313498) is an individual optometrist in Caledonia, Michigan, licensed in Florida (OPC7028) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Walton Beach, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1760313498
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameALEXIS NICOLE DICKERSON
Location Address6125 ROYALTON DR SECaledonia, MI 49316-8066
Mailing Address6125 Royalton Dr SeCaledonia, MI 49316-8066
Phone(616) 570-1780
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMay 29, 2026
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1760313498 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 · OPC7028
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.
6125 ROYALTON DR SE, Caledonia, MI 49316
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Secondary Practice Location 1

Location 1417A Racetrack Rd NWFort Walton Beach, FL 32547-4600 · Phone (850) 315-8861 · Fax (850) 864-2844

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Nicole Dickerson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274090287
PECOS Enrollment IDI20260810003781
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 Reassignment

Medicare enrollment records show Alexis Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sight And Sun Eyeworks LLC
857 mi
Optometrist
5101 N DAVIS HWY, SUITE A
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • 44 clinicians in this Medicare group
NPI 1932359106 (636) 200-4393

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 49316 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Alexis Dickerson's NPI number?

The NPI number for Alexis Dickerson is 1760313498. It was assigned to this individual provider in the NPPES registry on May 29, 2026.

Where is Alexis Dickerson located?

Alexis Dickerson practices at 6125 Royalton Dr SE, Caledonia, MI 49316. The listed phone number is (616) 570-1780.

What is Alexis Dickerson's specialty?

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

Is Alexis Dickerson enrolled in Medicare?

Yes. Alexis Dickerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexis Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Dickerson reassigns Medicare benefits to Sight And Sun Eyeworks LLC (Pensacola, FL). The 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 Alexis Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Dickerson 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, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Alexis Dickerson 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 Alexis Dickerson was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.