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

Nichole M. Cruz, OD

Individual provider Optometrist · NPI 1801906102

Nichole M. Cruz, OD is an Optometry in Random Lake, Wisconsin. Graduated from Southern California College of Optometry in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
26
Trained at
Southern California College of Optometry
Licensed in
WI
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

675 Wolf Rd
Random Lake, WI 53075-1264
Phone: (920) 994-8500
Fax: (920) 994-8550
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2823-035 (WI)

Record details

NPI number1801906102
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 19, 2014

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare