Individual
DR. NICOLE SHAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
16144 NE 87TH ST, REDMOND, WA 98052-3505
(425) 556-0202
(425) 556-0202
Mailing address
16144 NE 87TH ST, REDMOND, WA 98052-3505
(425) 556-0202
(425) 556-0202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007153
NY
152W00000X
Optometrist
60563438
WA
152W00000X
Optometrist
Primary
OD 60563438
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60563438
WA LICENSE #
WA
Enumeration date
09/12/2011
Last updated
09/26/2019
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