Individual
DR. NIKOLAUS W FATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O,D.
Contact information
Practice address
646 PORTAGE TRL, CUYAHOGA FALLS, OH 44221-3034
(330) 929-9941
(330) 929-3926
Mailing address
646 PORTAGE TRL, CUYAHOGA FALLS, OH 44221-3034
(330) 929-9941
(330) 929-3926
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072539
—
OH
Enumeration date
07/25/2011
Last updated
01/08/2013
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