Organization
NICHOLS OPTICAL INC
Active
Other names
Pearle Vision 8808
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI WIRTH (GENERAL MANAGER)
(231) 941-7788
Entity
Organization
Contact information
Practice address
6800 EASTMAN AVE, SUITE 320, MIDLAND, MI 48642-7810
(989) 839-5858
Mailing address
3200 S AIRPORT RD W, SUITE 146, TRAVERSE CITY, MI 49684-8117
(231) 941-7788
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863265117
—
MI
Enumeration date
05/10/2006
Last updated
07/29/2011
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