Individual
NIKITA S. JABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
644 FULTON ST W STE C, GRAND RAPIDS, MI 49504-5309
(616) 465-5503
(616) 777-5221
Mailing address
644 FULTON ST W STE C, GRAND RAPIDS, MI 49504-5309
(616) 465-5503
(616) 777-5221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005488
MI
152W00000X
Optometrist
OPC5783
FL
Other
Enumeration date
05/19/2020
Last updated
06/24/2024
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