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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881081461

Nicholas Gidosh is an Optometry in Big Rapids, Michigan. Graduated from Pennsylvania College of Optometry in 2015, 11 years ago. Practices with Drexel University, a 80-clinician group and accepts Medicare assignment.

Years since qualifying
11
Trained at
Pennsylvania College of Optometry
In the registry since
2015
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Practice location Address checks out

1124 S State St
Big Rapids, MI 49307-2256
Phone: (231) 591-2020
Fax: (231) 591-3991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1881081461
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2015
Last updated in NPPESApril 21, 2015
Mailing address1124 S State St, Big Rapids, MI 49307-2256

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Group practice Drexel University — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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