Individual
DR. THOMAS M NICHOLAS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1204 W WILLOW RD, SUITE A, ENID, OK 73703-2531
(580) 234-2333
(580) 234-0820
Mailing address
1204 W WILLOW RD, SUITE A, ENID, OK 73703-2531
(580) 234-2333
(580) 234-0820
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2256
OK
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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