Individual
MR. SAMPSON O NOSIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
750 WASHINGTON ST, # 450, BOSTON, MA 02111-1526
(617) 636-4600
(617) 636-4866
Mailing address
339 SCHOOL ST, WATERTOWN, MA 02472-1413
(617) 625-3043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4131
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313688
—
MA
Enumeration date
04/19/2006
Last updated
08/20/2010
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