Individual
DR. NIKKI L BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-9355
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-9355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6137
OH
Other
Enumeration date
10/03/2012
Last updated
08/16/2022
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