Ross, Nicole Christie

Ross, Nicole Christie is an individual health care provider with primary practice located at 930 Commonwealth Ave Suite 2A, Boston MA 02215-1220. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Ross, Nicole Christie can be contacted via phone (617) 262-2020.

Contact Information

Primary practice address
930 Commonwealth Ave Suite 2A Boston MA 02215-1220
Phone: (617) 262-2020
Fax: (617) 236-6323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA2297 Maryland
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 5047 Massachusetts

Profile Details

NPI number 1184903536
LBN Legal business name Ross, Nicole Christie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2011
Last updated Feb 11th, 2016 - about 8 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 1184903536 NPPES
Maryland MEDICAID 055783800
Maryland MEDICAID 110100998A

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