DR. NICOLE MARIE GRIMES (OD) – Optometrist, NPI 1164093381

DR. NICOLE MARIE GRIMES (OD) is a healthcare provider. based in Phoenix, Arizona. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0003689 (CO). The NPI Number for DR. NICOLE MARIE GRIMES (OD) is 1164093381

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE MARIE GRIMES (OD)
NPI
1164093381
Phone
(480) 327-8704
Address
7511 S 28TH TER
Enumeration Date
8 July 2021
Last Update Date
8 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
7204998349
Graduation Year
2021 (5 years ago)
PAC ID
7618335084
Group Practice PAC ID
4880662485
Professional Enrollment ID
I20230615003168
Address ID
CO800220746CO15209PLXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

Provider Addresses for DR. NICOLE MARIE GRIMES (OD)

  • 7511 S 28TH TER

    PHOENIX, AZ 850426047

    Phone: (480) 327-8704

    Type: Mailing

  • 7111 W ALAMEDA AVE UNIT L

    LAKEWOOD, CO 802263300

    Phone: (303) 934-0268

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: RxSight Inc ($68).

Total Amount

$87

General + Research + Ownership

Payments

2

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230615003168IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 85042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880662485View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YTX
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
Optometry, OphthalmologyCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

Is DR. NICOLE MARIE GRIMES (OD) listed with a National Provider Identifier?
Yes — DR. NICOLE MARIE GRIMES (OD) has NPI 1164093381 on file in the registry.
Would DR. NICOLE MARIE GRIMES (OD) appear as active to a payer?
You can treat DR. NICOLE MARIE GRIMES (OD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. NICOLE MARIE GRIMES (OD)'s focus?
For DR. NICOLE MARIE GRIMES (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. NICOLE MARIE GRIMES (OD)?
Directory geography for DR. NICOLE MARIE GRIMES (OD) centers on Phoenix, Arizona.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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