Individual
DR. ANGELA ELISE NICOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3225 S 27TH ST, ABILENE, TX 79605-6221
(325) 691-0101
(325) 691-8950
Mailing address
3225 S 27TH ST, ABILENE, TX 79605-6221
(325) 691-0101
(325) 691-8950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04853TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81010Q
BLUE CROSS BLUE SHIELD
TX
01
—
A002
HUMANA/TRICARE
—
Enumeration date
08/28/2006
Last updated
07/08/2007
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