Individual
DR. NICHOLAS SILVESTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(024) 569-1215
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 813-8928
(502) 456-9121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006006993
MO
152W00000X
Optometrist
2042DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008867
—
IL
05
—
311054407
—
MO
05
—
7100465490
—
KY
Enumeration date
06/08/2006
Last updated
02/23/2023
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