Individual
DR. HEATHER MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
552 UNIVERSITY RD # MS 7002, SANTA BARBARA, CA 93106
(805) 893-3170
Mailing address
552 UNIVERSITY RD # MS 7002, SANTA BARBARA, CA 93106-7880
(805) 893-3170
(805) 893-2952
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
11623T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020725851
VSP
CA
01
—
122280
DR. ID COLE
CA
01
—
16290
MEDICAL EYE SERVICES
CA
01
—
222489
LOCATION ID COLE
CA
01
—
SD0116230
MEDI-CAL
CA
Enumeration date
08/18/2005
Last updated
07/29/2019
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