Organization
EYE HEALTH SPECIALISTS II, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA E NICHOLS OD (OWNER)
(606) 365-3220
Entity
Organization
Contact information
Practice address
713 E MAIN ST, STANFORD, KY 40484-1404
(606) 365-3220
(606) 365-3166
Mailing address
713 E MAIN ST., STANFORD, KY 40484
(606) 365-3220
(606) 365-3166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1544DT
KY
152WV0400X
Vision Therapy Optometrist
1544DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77904068
—
KY
Enumeration date
06/06/2006
Last updated
07/24/2013
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