Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164491478 Individual Practitioner Male Practitioner

Dr. Nickolas Anthony Scavo , OD

Optometrist • Fullerton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Nickolas Scavo, OD is a registered healthcare professional specializing in Optometrist in Fullerton, CA. Practice services are available at 900 S HARBOR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 S Harbor Blvd

Fullerton, CA 928323025

Telephone 7145259003
Fax 7145258206
Associated Practice Facility / Clinic
🏢 Costco Wholesale Corporation Facility NPI 1255441853

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fullerton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
86 Specialists

Practicing in Fullerton, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA OPT 8023 TPA

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Optometry License Number
OPT 8023 TPA (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1144455213

Doctor of Pharmacy (Pharm.D.)

NPI 1295322147

Doctor of Pharmacy (Pharm.D.)

Rachel Kim

Pharmacist

NPI 1508178781
Lan Nguyen

Pharmacist

NPI 1780934877
NPI 1891520888

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 900 S HARBOR BLVD, FULLERTON, CA 928323025 (Tel: 7145259003)

📍
Updated Business Mailing Address July 08, 2007

Registered at 24673 LAS PATRANAS, YORBA LINDA, CA 928875114 (Tel: 7146922631)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NICKOLAS SCAVO, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #OPT 8023 TPA in CA)

🟢
Initial NPI Registration & Enumeration March 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164491478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

24673 Las Patranas

Yorba Linda, CA 928875114

Phone: 7146922631

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.