Organization
NICHOLS OPTICAL INC
Active
Other names
Pearle Vision 8817
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI WIRTH (GENERAL MANAGER)
(231) 941-7788
Entity
Organization
Contact information
Practice address
2368 US 23 S, ALPENA, MI 49707-4546
(989) 356-9096
Mailing address
3200 S AIRPORT RD W, SUITE 146, TRAVERSE CITY, MI 49684-8117
(231) 941-7788
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862710523
—
MI
Enumeration date
05/10/2006
Last updated
01/20/2009
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