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Deactivated NPI 1760455471 Deactivated / Inactive NPI Male Practitioner

Dr. George Nicolas , OD

Optometrist • San Antonio, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. George Nicolas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 12, 2006
NPI Deactivation Date February 13, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. George Nicolas, OD was a registered Optometrist practicing in San Antonio, TX. Throughout an active medical career spanning 19 years, Dr. Nicolas provided care at the practice location at 5430 FREDERICKSBURG RD until profile deactivation on 2025-02-13.

Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient problem focused exam of visual system, exam of visual field with extended testing. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5430 Fredericksburg Rd
Suite 100

San Antonio, TX 782293539

Telephone 2103401212
Fax 2105259617
Associated Practice Facility / Clinic
🏢 Mockingbird Optical Shop Llc Facility NPI 1194728337

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
390 Specialists

Practicing in San Antonio, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
462 437 $145.00 $124.51
92012 Established patient problem focused exam of visual system
302 208 $100.00 $87.80
92083 Exam of visual field with extended testing
111 73 $110.00 $61.49
92133 Imaging of optic nerve
89 81 $80.00 $34.47
92004 New patient complete exam of visual system
74 74 $195.00 $144.66
92134 Imaging of retina
57 52 $80.00 $39.15
76514 Ultrasound scan of cornea to determine thickness
23 23 $35.00 $10.55
92002 New patient problem focused exam of visual system
15 15 $110.00 $84.85

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 8516T

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1043579733

Doctor of Medicine (M.D.)

NPI 1073516241

Doctor of Optometry

NPI 1144633439

Doctor of Optometry

Dr. Matthew Caldwell , MD

Ophthalmology - Cornea and External Diseases Specialist

NPI 1669594859

Doctor of Medicine (M.D.)

NPI 1700864089

Doctor of Medicine (M.D.), Doctor of Optometry

NPI 1720571185

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
⚠️
NPI Profile Deactivated February 13, 2025

Record deactivated on February 13, 2025

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Updated Practice Location June 05, 2018

Registered at 5430 FREDERICKSBURG RD, SUITE 100, SAN ANTONIO, TX 78229 (Tel: 2103401212)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2018

Optometrist (License #8516-TG in TX)

NPI Profile Active January 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2015

Registered at 5430 FREDERICKSBURG RD, SUITE 100, SAN ANTONIO, TX 782293539 (Tel: 2103401212)

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Updated Business Mailing Address January 21, 2015

Registered at 5430 FREDERICKSBURG RD, SUITE 100, SAN ANTONIO, TX 782293539 (Tel: 2103401212)

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Provider Name / Credentials Updated January 21, 2015

Recorded as GEORGE NICOLAS, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2015

Optometrist (License #8516T in TX)

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Initial NPI Registration & Enumeration February 12, 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: 1760455471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2006
Last Update: January 21, 2015
Deactivation Date: February 13, 2025

Mailing Address

5430 Fredericksburg Rd, Suite 100

San Antonio, TX 782293539

Phone: 2103401212

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.