Organization
LOUIS H NICOLAUS OPTICAL COMPANY
Active
Other names
Nicolaus Optical Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY N BAZLEN RDO (PRESIDENT)
(916) 483-5086
Entity
Organization
Contact information
Practice address
3301 ARDEN WAY, SACRAMENTO, CA 95825-2016
(916) 483-5086
(916) 483-5088
Mailing address
3301 ARDEN WAY, SACRAMENTO, CA 95825-2016
(916) 483-5086
(916) 483-5088
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ3320Z
—
CA
Enumeration date
12/05/2006
Last updated
08/22/2020
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