Individual
EDWARD R NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
323 W STATE RD STE A, AMERICAN FORK, UT 84003-5600
(801) 763-9898
(801) 763-7217
Mailing address
323 W STATE RD STE A, AMERICAN FORK, UT 84003-5600
(801) 763-9898
(801) 763-7217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8746430-9934
UT
Other
Enumeration date
06/13/2013
Last updated
10/20/2022
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