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

Dr. Nicole Kelsy Antonio, OD

Individual provider Optometrist · NPI 1699412841

Dr. Nicole Kelsy Antonio, OD is an Optometry in Modesto, California. Graduated from Pacific University - College of Optometry in 2023, 3 years ago. Licensed in California.

Years since qualifying
3
Trained at
Pacific University - College of Optometry
Licensed in
CA
In the registry since
2022
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

809 Sylvan Ave Ste 103
Modesto, CA 95350-1500
Phone: (209) 524-0100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 35566 (CA)

Record details

NPI number1699412841
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 18, 2022
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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