Nicholas, Thomas Michael

Nicholas, Thomas Michael is an sole proprietor health care provider with primary practice located at 1204 W Willow Rd Suite A, Enid OK 73703-2531. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nicholas, Thomas Michael can be contacted via phone (580) 234-2333.

Contact Information

Primary practice address
1204 W Willow Rd Suite A Enid OK 73703-2531
Phone: (580) 234-2333
Fax: (580) 234-0820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 848 Oklahoma

Profile Details

NPI number 1467540674
LBN Legal business name Nicholas, Thomas Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Dec 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467540674 NPPES
Oklahoma Other 848 STATE LICENSE NUMER

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