CHELSEY BREANNE NOLASCO (O.D.) – Optometrist, NPI 1710120415

CHELSEY BREANNE NOLASCO (O.D.) is a healthcare provider. based in Fort carson, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 15180 (CA). The NPI Number for CHELSEY BREANNE NOLASCO (O.D.) is 1710120415

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
CHELSEY BREANNE NOLASCO (O.D.)
NPI
1710120415
Phone
(719) 368-2446
Address
6110 MARTINEZ ST
Enumeration Date
9 April 2009
Last Update Date
3 November 2017

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
7193800750
Graduation Year
2011 (15 years ago)
PAC ID
3072839380
Group Practice PAC ID
0244747897
Professional Enrollment ID
I20170511002167
Address ID
CO809064049CO4385XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for CHELSEY BREANNE NOLASCO (O.D.)

  • 6110, Martinez Street, Fort Carson, El Paso County, Colorado, 80913, United States

    FORT CARSON, CO 809132048

    Phone: (719) 368-2446

    Fax: (719) 576-9332

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $517.

Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: CooperVision Inc. ($143).

Total Amount

$517

General + Research + Ownership

Payments

12

Total payment records

General Amount

$517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2017-05-11

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
I20170511002167IOptometryCOTBD

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 system6262$0
92004New patient complete exam of visual system3636$0
View full utilization report →

Insurance plans in this area (ZIP 80913)

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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: 0244747897View full group profile
NameSpecialtyState
O P T O M E T R YAE

Reviews

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Frequently asked questions

How is CHELSEY BREANNE NOLASCO (O.D.) identified in CMS data?
CMS-hosted NPPES data lists CHELSEY BREANNE NOLASCO (O.D.) with NPI 1710120415.
Is CHELSEY BREANNE NOLASCO (O.D.) listed as active for patients and plans?
The listing shows CHELSEY BREANNE NOLASCO (O.D.) as active in the NPI system.
What taxonomy line describes CHELSEY BREANNE NOLASCO (O.D.)?
For research purposes, treat CHELSEY BREANNE NOLASCO (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is CHELSEY BREANNE NOLASCO (O.D.) based?
CHELSEY BREANNE NOLASCO (O.D.) is tied to Fort Carson, Colorado in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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