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Organization
NICOLE KOHAN, O.D., INC.
Active
Organization
NICOLE KOHAN, O.D., INC.
Active
Other names
Mountain Eyes Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE KOHAN O.D. (OPTOMETRIST / OWNER)
(714) 328-4159
Entity
Organization
Contact information
Practice address
944 W FOOTHILL BLVD, UPLAND, CA 91786-3757
(909) 982-3040
Mailing address
9798 FOOTHILL BLVD STE B, RANCHO CUCAMONGA, CA 91730-3692
(714) 328-4159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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