Organization
COLUMBIA EYE CONSULTANTS OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE NICHOLS (OPTOMETRIST)
(573) 874-2030
Entity
Organization
Contact information
Practice address
500 KEENE STREET, SUITE 103, COLUMBIA, MO 65201
(573) 874-2030
Mailing address
500 KEENE STREET, SUITE 103, COLUMBIA, MO 65201
(573) 874-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
01/07/2008
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