Individual
KEITH BYRON NICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2603 HOLLY HILL ST, BURLINGTON, NC 27215-5156
(336) 228-1766
Mailing address
PO BOX 1868, BURLINGTON, NC 27216-1868
(336) 228-1766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1504
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909429
—
NC
Enumeration date
03/06/2007
Last updated
01/04/2018
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