Individual
BRIAN SCOTT NISHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
324 N HIGHWAY 16, DENVER, NC 28037-8012
(704) 483-2263
(704) 483-6136
Mailing address
324 N HIGHWAY 16, DENVER, NC 28037-8012
(704) 483-2263
(704) 483-6136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1819
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093MV
BCBS
NC
05
—
89093MV
—
NC
Enumeration date
11/09/2005
Last updated
12/04/2012
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