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Organization
NICOLINI ENTERPRISES, INC.
Active
Organization
NICOLINI ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA ELISE NICOLINI O.D. (PRESIDENT/PHYSICIAN)
(325) 691-0101
Entity
Organization
Contact information
Practice address
3225 S 27TH ST, ABILENE, TX 79605-6221
(325) 691-0101
(325) 691-8950
Mailing address
3225 S 27TH ST, ABILENE, TX 79605-6221
(325) 691-0101
(325) 691-8950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4853TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013FE
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/28/2006
Last updated
08/22/2020
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