Organization
NICHOLS OPTICAL INC
Active
Other names
TraverseVision
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI WIRTH (GENERAL MANAGER)
(231) 941-7788
Entity
Organization
Contact information
Practice address
336 W FRONT ST, TRAVERSE CITY, MI 49684-2204
(231) 941-5440
Mailing address
336 W FRONT ST, TRAVERSE CITY, MI 49684-2204
(231) 941-5440
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
861978544
—
MI
Enumeration date
05/12/2006
Last updated
05/10/2012
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