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

Individual provider Optometrist · NPI 1558470401

Nichol K Dillavou, OD is an Optometry in Bismarck, North Dakota. Qualified in 2000, 26 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
26
Licensed in
ND
In the registry since
2006
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

1325 57th Ave NE
Bismarck, ND 58503-6581
Phone: (701) 471-0465
Fax: (701) 712-5662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2821 Rock Island Pl, Bismarck, ND 58504 — (701) 471-0465
  • 2821 Rock Island Pl, Bismarck, ND 58504 — (701) 471-0465

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 591 (ND)

Record details

NPI number1558470401
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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