Individual
NICHOLAS KING-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
665 BRIARTHORN CRESCENT DR, WADSWORTH, OH 44281-7501
(330) 336-9177
Mailing address
9397 LATTASBURG RD, WEST SALEM, OH 44287-9725
(330) 317-1728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6291
OH
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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