Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carl V Nicholson, OD

Individual provider Optometrist · NPI 1457436537

Dr. Carl V Nicholson, OD is an Optometry in Pasadena, California. Qualified in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and South Carolina.

Years since qualifying
36
Licensed in
CA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

709 E Colorado Blvd Ste 101
Pasadena, CA 91101-2125
Phone: (626) 795-3453
Fax: (626) 795-0047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2113 (SC)
Optometrist Taxonomy 152W00000X · Licence 152W00000X (CA)

Record details

NPI number1457436537
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 26, 2006
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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