# DR. AMY LYNN NICHOLAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407081680
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 0101253214 | VA | — |
| 207W00000X | Ophthalmology Physician | D0075217 | MD | Yes |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 10/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 443234700 | — | MD |