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NICHOLE M. CRUZ O.D.
NPI 1801906102
Optometrist in Random Lake, WI

Active since August 30, 2006PECOS Enrolled
675 WOLF RD, RANDOM LAKE, WI 53075(920) 994-8500(920) 994-8550 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nichole M. Cruz O.d. NPPES

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

NICHOLE M. CRUZ O.D. (NPI 1801906102) is an individual optometrist in Random Lake, Wisconsin, licensed in Wisconsin (2823-035) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2000).

NPPES Registry Identity

NPI1801906102
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNICHOLE M. CRUZCredential: O.D.
Location Address675 WOLF RDRandom Lake, WI 53075-1264
Mailing Address675 Wolf Rd, P.o.box 2Random Lake, WI 53075-1264 · (920) 994-8500 · Fax (920) 994-8550
Phone(920) 994-8500
Fax(920) 994-8550
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2000
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 19, 2014
✔ NPI 1801906102 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 WI · 2823-035
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.
675 WOLF RD, Random Lake, WI 53075
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Other Identifiers 4

Medicare ID-Type Unspecified000047262WI
Medicare UPIN000047262WI
Medicare UPINU92443WI
Medicaid38623000WI

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 (PECOS)

Nichole M. Cruz O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355407594
PECOS Enrollment IDI20090312000650
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

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.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53075 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 Nichole Cruz's NPI number?

The NPI number for Nichole Cruz is 1801906102. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Nichole Cruz located?

Nichole Cruz practices at 675 Wolf Rd, Random Lake, WI 53075. The listed phone number is (920) 994-8500.

What is Nichole Cruz's specialty?

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

Is Nichole Cruz enrolled in Medicare?

Yes. Nichole Cruz is registered in the Medicare PECOS enrollment system.

What insurance does Nichole Cruz accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Nichole Cruz 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 Nichole Cruz was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.