Organization
NICOLAS A SOULIER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS ANTONY SOULIER OD (SOLE MEMBER)
(260) 312-5136
Entity
Organization
Contact information
Practice address
6424 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6204
(260) 969-1400
(260) 673-5875
Mailing address
5229 COLDWATER RD, FORT WAYNE, IN 46825-5538
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
02/17/2022
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