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Individual

NILS W. OHLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1079
NH
152W00000X
Optometrist
Primary
3589
WA
152W00000X
Optometrist
ODP-100587
ID
152W00000X
Optometrist
OEG004078
PA
152W00000X
Optometrist
OPT-002651
AZ
152W00000X
Optometrist
OPT-OPT-LIC-4613
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2023851
WA
Enumeration date
07/01/2005
Last updated
10/09/2023
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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