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Individual

NICHOLAS JOSEPH CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
138 W CHICAGO BLVD, TECUMSEH, MI 49286-1553
(517) 423-2148
Mailing address
PO BOX 208177, DALLAS, TX 75320-8177
(636) 200-4393
(636) 527-0766

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901005408
MI
152W00000X
Optometrist
Primary
T6637
OH

Other

Enumeration date
08/24/2018
Last updated
01/05/2023
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