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DR. NICOLE SHIRLEY AVGOULAS OD
NPI 1831714120
Optometrist in Sussex, WI

Active since June 11, 2020PECOS EnrolledAccepts Medicare Assignment
W248N5233 EXECUTIVE DR UNIT 200, SUSSEX, WI 53089(262) 304-0080(262) 304-0080 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2025, Jun 11, 2020 (2 updates tracked since 2020).

About Dr. Nicole Shirley Avgoulas Od NPPES

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

DR. NICOLE SHIRLEY AVGOULAS OD (NPI 1831714120) is an individual optometrist in Sussex, Wisconsin, licensed in Wisconsin (3617-35) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831714120
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. NICOLE SHIRLEY AVGOULASCredential: OD
Location AddressW248N5233 EXECUTIVE DR UNIT 200Sussex, WI 53089-4318
Mailing AddressW248n5233 Executive Dr Unit 200Sussex, WI 53089-4318 · (262) 304-0080
Phone(262) 304-0080
Fax(262) 304-0080
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 11, 2020
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1831714120 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 · 3617-35
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.
W248N5233 EXECUTIVE DR UNIT 200, Sussex, WI 53089
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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, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana 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 and accepts Medicare assignment

Dr. Nicole Shirley Avgoulas Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082037437
PECOS Enrollment IDI20200702000675
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

2

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

Radiant Eyes LLC
Same address
Optometrist
W248N5233 EXECUTIVE DR UNIT 200
Sussex, WI 53089
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1679316996 (262) 304-0080
Shoptikal LLC
2.2 mi
Eyewear Supplier
1440 CAPITAL DRIVE, SUITE B
Pewaukee, WI 53072
  • Reassigned Medicare billing, Wisconsin enrollment
  • 187 clinicians in this Medicare group
NPI 1932767316 (920) 429-2211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53089 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.

Other Providers at the Same Location NPPES 2

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

DR. NOEL ARACKAL OD
Optometrist
W248N5233 EXECUTIVE DR UNIT 200
SUSSEX, WI 53089
Waukesha County (262) 304-0080
RADIANT EYES LLC
Optometrist
W248N5233 EXECUTIVE DR UNIT 200
SUSSEX, WI 53089
Waukesha County (262) 304-0080

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 Avgoulas's NPI number?

The NPI number for Nicole Avgoulas is 1831714120. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Nicole Avgoulas located?

Nicole Avgoulas practices at W248n5233 Executive Dr Unit 200, Sussex, WI 53089. The listed phone number is (262) 304-0080.

What is Nicole Avgoulas's specialty?

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

Is Nicole Avgoulas enrolled in Medicare?

Yes. Nicole Avgoulas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Avgoulas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Avgoulas reassigns Medicare benefits to 2 organizations: Radiant Eyes LLC (Sussex, WI) and Shoptikal LLC (Pewaukee, WI). 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 Avgoulas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Avgoulas accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 5 other insurers list Nicole Avgoulas 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 Avgoulas was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.