Individual
NICHOLAS EARLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
982 N MITTHOEFFER RD, INDIANAPOLIS, IN 46229-2622
(317) 898-2835
Mailing address
1242 ART GALLERY RD, BEDFORD, IN 47421-8198
(812) 797-1746
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004225
IN
152W00000X
Optometrist
2009DT
KY
Other
Enumeration date
10/07/2015
Last updated
07/09/2021
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