Organization
NICHOLAS EYE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALARIE NICHOLAS (OFFICE MANAGER)
(580) 234-2333
Entity
Organization
Contact information
Practice address
1204 W WILLOW RD, SUITE A, ENID, OK 73703-2531
(580) 234-2333
(580) 234-0820
Mailing address
1204 W WILLOW RD, SUITE A, ENID, OK 73703-2531
(580) 234-2333
(580) 234-0820
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410044611
RAILROAD MEDICARE
OK
Enumeration date
02/23/2007
Last updated
02/04/2010
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