Nicholson, Philip Leroy

Nicholson, Philip Leroy is an sole proprietor health care provider with primary practice located at 10925 Baltimore Ave Optical Department, Beltsville MD 20705-2117. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Nicholson, Philip Leroy can be contacted via phone (301) 595-9041.

Contact Information

Primary practice address
10925 Baltimore Ave Optical Department Beltsville MD 20705-2117
Phone: (301) 595-9041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA1322 Maryland
Eye and Vision Services Providers / Vision Therapy 152WV0400X TA1322 Maryland

Profile Details

NPI number 1184813974
LBN Legal business name Nicholson, Philip Leroy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 18 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.

Request for update

Popular Providers