Individual
DR. NICHOLAS R FEUCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
488 PLEASANT ST, WORCESTER, MA 01609-1857
(508) 756-6832
(508) 756-5266
Mailing address
488 PLEASANT ST, WORCESTER, MA 01609-1857
(508) 756-6832
(508) 756-5260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010482
IL
152W00000X
Optometrist
Primary
ODTG00604
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010482
—
IL
01
—
502720042
MEDICARE PTAN
IL
Enumeration date
07/06/2011
Last updated
12/08/2025
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