Organization
NIX OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LEE NIX (OWNER/PRESIDENT)
(724) 483-6527
Entity
Organization
Contact information
Practice address
216 LINCOLN AVENUE EXT, CHARLEROI, PA 15022-3080
(724) 483-6527
(724) 483-6504
Mailing address
PO BOX 6, 216 LINCOLN AVENUE EXT, CHARLEROI, PA 15022-0006
(724) 483-6527
(724) 483-6504
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017267700001
MAID
PA
Enumeration date
08/10/2005
Last updated
08/22/2020
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