Individual
DR. NICHOLAS BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
700 MAIN ST, CANON CITY, CO 81212-3739
(719) 431-6434
(719) 431-6435
Mailing address
700 MAIN ST, CANON CITY, CO 81212-3739
(719) 431-6434
(719) 431-6435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2800
CO
Other
Enumeration date
07/27/2010
Last updated
08/17/2019
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