NPI age
19 years
Enumerated 2006-07-20
● Active
Type 1 · Individual
Charles Richard Nicholson, O.D.
Nicholson is 1 of 123 optometrist providers in Boise and 1 of 598 in Idaho.
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-01-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 598 active optometrist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
11513 W Fairview Ave, Suite 106
Boise, ID 837137886
Mailing address
11513 W Fairview Ave, Suite 106
Boise, ID 837137886
Specialties
-
Optometrist PrimaryDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1590015 | MEDICARE PTAN |
| 01 (ID) | 000010162496 | REGENCE BLUE SHIELD |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 1 new optometrist provider has been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.