Gary Nickel O.D., P.A.

NPI 1053412262 - Optometrist - 152W00000X

NPI Details
NPI 1053412262
Gender Male
Enumeration Date 09/26/2006
Last Updated 11/14/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
404 N 14TH ST
INDEPENDENCE KS, 67301-2909, US
Phone (620) 331-0910
Fax (620) 331-2121
Business Location
PO BOX 474
INDEPENDENCE KS, 67301-0474, US
Phone (620) 331-0910
Fax (620) 331-2121
Toxanomy
Taxonomy Code 152W00000X
License State Kansas
License Number 09562
Remove 1053412262 NPI Number
 

According to our database, Gary Nickel O.D., P.A. NPI is 1053412262, taxonomy code is 152W00000X and license number is 09562, license state is located at Kansas. Gary Nickel O.D., P.A. physically located at 404 N 14th St, Independence KS, 67301-2909. NPI Number Gary Nickel O.D., P.A. has the Individual type.

Sponsored links

1053412262 NPI number is provided on an as is basis without warranty of any kind. 1053412262 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Nickel O.D., P.A. are for informational purposes only.