Organization
NICHOLS OPTICAL INC
Active
Other names
Pearle Vision 8491
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI WIRTH (GENERAL MANAGER)
(231) 941-7788
Entity
Organization
Contact information
Practice address
4164 E BLUEGRASS RD, MT PLEASANT, MI 48858-7967
(989) 772-9481
Mailing address
3200 S AIRPORT RD W, SUITE 146, TRAVERSE CITY, MI 49684-8117
(231) 941-7788
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864472126
—
MI
Enumeration date
05/12/2006
Last updated
07/29/2011
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