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

Kaylyn Marie Nickelson, OD

Individual provider Optometrist · NPI 1467930735

Kaylyn Marie Nickelson, OD is an Optometry in Springfield, Illinois. Graduated from Indiana University - School of Optometry in 2018, 8 years ago. Practices with Prairie Eye Center, Ltd, a 15-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
Indiana University - School of Optometry
Licensed in
IL
In the registry since
2018
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

2020 W Iles Ave
Springfield, IL 62704-7015
Phone: (217) 698-3030
Fax: (217) 718-5687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046011215 (IL)

Record details

NPI number1467930735
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 30, 2018
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Prairie Eye Center, Ltd — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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