Individual
DR. CARL V. NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
709 E COLORADO BLVD STE 101, PASADENA, CA 91101-2125
(626) 795-3453
(626) 795-0047
Mailing address
709 E COLORADO BLVD STE 101, PASADENA, CA 91101-2125
(626) 795-3453
(626) 795-0047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
152W00000X
CA
152W00000X
Optometrist
Primary
2113
SC
Other
Enumeration date
10/26/2006
Last updated
10/26/2023
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