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

Nicole Lee Gates

Individual provider Optometrist · NPI 1073251708

Nicole Lee Gates is an Optometry in Logan, Ohio. Graduated from Indiana University - School of Optometry in 2022, 4 years ago. Practices with Holzer Clinic LLC, a 264-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Trained at
Indiana University - School of Optometry
Licensed in
OH
In the registry since
2022

Practice location Address checks out

30652 Red Rock Ct
Logan, OH 43138-9670
Phone: (740) 385-4006
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT.007033 (OH)

Record details

NPI number1073251708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2022
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022
Mailing address673 W Washington St, Nelsonville, OH 45764-9745

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2022 (4 years in practice)
Group practice Holzer Clinic Llc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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