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

Dr. Steven Ticknor, OD

Individual provider Optometrist · NPI 1174260715

Dr. Steven Ticknor, OD is an Optometry in Kenosha, Wisconsin. Graduated from Illinois College of Optometry at Chicago in 2022, 4 years ago. Practices with Dr Charlotte F Nielsen PC, a 2-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Trained at
Illinois College of Optometry at Chicago
Licensed in
WI
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

3621 Market Ln
Kenosha, WI 53144-1553
Phone: (262) 658-8119
Fax: (262) 658-8261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3810-35 (WI)

Record details

NPI number1174260715
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 16, 2022
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address568 Woodcrest Dr, Mundelein, IL 60060-1525

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2022 (4 years in practice)
Group practice Dr Charlotte F Nielsen Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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