Individual
THEODORE WILLIAM NICHTING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
260 EAST MAIN STREET, JACKSON, OH 45640
(740) 286-5022
(740) 286-7000
Mailing address
260 EAST MAIN STREET, JACKSON, OH 45640
(740) 286-5022
(740) 286-7000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2918
OH
152W00000X
Optometrist
Primary
T578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214735
—
OH
Enumeration date
04/01/2006
Last updated
07/08/2007
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