DR CARL V NICHOLSON INC (NPI# 1144555418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144555418 |
| Entity Type | Organization |
| Organization Name | DR CARL V NICHOLSON INC |
| Other Organization Name | VISION ONE OPTOMETRY |
| Practice Address |
709 E Colorado Blvd Suite 101 Pasadena CA 91101-2125 |
| Practice Telephone | 6267953453 |
| Mailing Telephone | 6267953453 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | DR. CARL VINCENT NICHOLSON SR. (OWNER/DOCTOR) |
| Authorized Official Telephone | 6267953453 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | OPT10650 | CA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Vision One Optometry | Doing Business As Name - Organization |
| Street Address |
709 E COLORADO BLVD SUITE 101 |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009723 | Dickson Chen | Optometrist | 709 E Colorado Blvd, Suite 101, Pasadena, CA 91101-2125 | 2006-02-01 |
| 1801076625 | L & M Home Health Corporation | Home Health | 709 E Colorado Blvd, Ste. #210, Pasadena, CA 91101-2125 | 2007-11-08 |
| 1417179185 | E.vicencio-quevedo M.d. Inc. | Ophthalmology | 709 E Colorado Blvd, #160, Pasadena, CA 91101-2125 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1669693057 | Karen Guinn Dds | Preferred Provider Organization | 1175 E Green St, Pasadena, CA 91106-2505 | 2007-05-01 |
| 1457423790 | Physician Associates of The Greater San Gabiel Valley, A Medical Group | Preferred Provider Organization | 199 S Los Robles Ave, Suite 300, Pasadena, CA 91101-2452 | 2006-11-14 |
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| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.