Dr Nicole Ethridge, OD is a medicare enrolled "Optometrist" provider in Carol Stream, Illinois. Her current practice location is
1076 Regency Ln, Carol Stream, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 291-2452.
Dr Nicole Ethridge is licensed to practice in Oklahoma (license number 2886) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851746341.
Healthcare Provider's Profile
Full Name | Dr Nicole Ethridge |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1076 Regency Ln, Carol Stream, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Nicole Ethridge attended and graduated from in
NPI Data:
- NPI Number: 1851746341
- Provider Enumeration Date: 05/03/2016
- Last Update Date: 07/19/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Nicole Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851746341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2886 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole Ethridge is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nicole Ethridge, OD 1076 Regency Ln, Carol Stream, IL 60188-4329 Ph: (630) 291-2452 | Dr Nicole Ethridge, OD 1076 Regency Ln, Carol Stream, IL 60188-4329 Ph: (630) 291-2452 |
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