Organization
NICKERSON OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK NICKERSON (MASTER OPTICIAN)
(207) 725-7741
Entity
Organization
Contact information
Practice address
8 MASON ST, BRUNSWICK, ME 04011-1514
(207) 725-7741
Mailing address
8 MASON ST, BRUNSWICK, ME 04011-1514
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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