DR. NICHOLAS QUALLS (OD) – Optometrist, NPI 1225690274

DR. NICHOLAS QUALLS (OD) is a healthcare provider. based in Memphis, Tennessee. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3521 (TN). The NPI Number for DR. NICHOLAS QUALLS (OD) is 1225690274

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS QUALLS (OD)
NPI
1225690274
Phone
(901) 752-1551
Address
7706 WINCHESTER RD
Enumeration Date
30 June 2019
Last Update Date
30 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172136264
Graduation Year
2019 (7 years ago)
PAC ID
4183045743
Group Practice PAC ID
3678814217
Professional Enrollment ID
I20240507002828
Address ID
IL618321167DA3679XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

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Provider Addresses for DR. NICHOLAS QUALLS (OD)

  • ZamZamz Mediterranean Grill, 7706, Winchester Road, Memphis, Shelby County, Tennessee, 38125, United States

    MEMPHIS, TN 381252399

    Phone: (901) 752-1551

    Type: Location

  • 7595, Wheatley Drive, Germantown, Shelby County, Tennessee, 38138, United States

    GERMANTOWN, TN 381381722

    Phone:

    Type: Mailing

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 $439.

Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($254).

Total Amount

$439

General + Research + Ownership

Payments

12

Total payment records

General Amount

$439

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2024-05-07

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
I20240507002828IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38125)

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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: 3678814217View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YCO
O P T O M E T R YIL

Reviews

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Frequently asked questions

Is there an official ID for DR. NICHOLAS QUALLS (OD) in U.S. healthcare records?
The official identifier for DR. NICHOLAS QUALLS (OD) is NPI 1225690274.
Active or inactive — what applies to DR. NICHOLAS QUALLS (OD)?
You should see DR. NICHOLAS QUALLS (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. NICHOLAS QUALLS (OD)?
At a glance, DR. NICHOLAS QUALLS (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. NICHOLAS QUALLS (OD)?
Directory geography for DR. NICHOLAS QUALLS (OD) centers on Memphis, Tennessee.
Does DR. NICHOLAS QUALLS (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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