Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962422253 Individual Practitioner Male Practitioner

Dr. Charles Richard Nicholson , OD

Optometrist • Boise, ID

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Charles Nicholson, OD is a registered healthcare professional specializing in Optometrist in Boise, ID. Official NPI practice address is registered at 11513 W FAIRVIEW AVE.

Practice Location & Contact Primary Location

Practice Address

11513 W Fairview Ave
Suite 106

Boise, ID 837137886

Telephone 2083228439
Fax 2083228433
Associated Practice Facility / Clinic
🏢 Clearview Family Eyecare Pllc Facility NPI 1336359694

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
87 Specialists

Practicing in Boise, ID (385 Statewide)

Telehealth Adoption Rate
1.1% 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 ID ODP-100134

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 Medicare Ptan
1590015 (ID)
Commercial Insurance / Payer ID Regence Blue Shield
000010162496 (ID)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1417262767

Doctor of Optometry

NPI 1992321327

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2009

Registered at 11513 W FAIRVIEW AVE, SUITE 106, BOISE, ID 837137886 (Tel: 2083228439)

📍
Updated Business Mailing Address January 26, 2009

Registered at 11513 W FAIRVIEW AVE, SUITE 106, BOISE, ID 837137886 (Tel: 2083228439)

👤
Provider Name / Credentials Updated January 26, 2009

Recorded as CHARLES NICHOLSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2009

Optometrist (License #ODP-100134 in ID)

🟢
Initial NPI Registration & Enumeration July 20, 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: 1962422253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: January 26, 2009
Sole Proprietor: No

Mailing Address

11513 W Fairview Ave, Suite 106

Boise, ID 837137886

Phone: 2083228439

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.