# NICHOLAS LE OD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639434566
- **Authorized official:** NICHOLAS LE OD (MANANGING MEMBER)
- **Authorized official phone:** (904) 613-7503

## Contact information

- **Practice address:** 4750 MILLENIA PLAZA WAY, ORLANDO, FL 32839-2434
- **Practice address phone:** (407) 541-0021
- **Mailing address:** 4250 ALAFAYA TRL, SUITE 212-311, OVIEDO, FL 32765-9412
- **Mailing address phone:** (904) 613-7503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4337 | FL | Yes |

## Other

- **Enumeration date:** 07/06/2012
- **Last updated:** 07/06/2012