Individual
MR. NICHOLAS JOSEPH PODPESKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
216 NW 1ST ST, GALVA, IL 61434-1302
(309) 932-3615
(309) 932-2023
Mailing address
216 NW 1ST ST, GALVA, IL 61434-1302
(309) 932-3615
(309) 932-2023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011327
IL
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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