Individual
DR. NICOLE BROWN MIHALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5419 PATTERSON AVE, RICHMOND, VA 23226-2003
(804) 285-7638
Mailing address
5419 PATTERSON AVE, RICHMOND, VA 23226-2003
(804) 247-4194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003035
VA
152WP0200X
Pediatric Optometrist
0618003035
VA
152WX0102X
Occupational Vision Optometrist
0618003035
VA
Other
Enumeration date
06/14/2021
Last updated
12/20/2023
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