Shams, Nicole

Shams, Nicole is an sole proprietor health care provider with primary practice located at 16144 Ne 87Th St , Redmond WA 98052-3505. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shams, Nicole can be contacted via phone (425) 556-0202.

Contact Information

Primary practice address
16144 Ne 87Th St Redmond WA 98052-3505
Fax: (425) 556-0202
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 60563438 Washington
Eye and Vision Services Providers / Optometrist 152W00000X 007153 New York
Eye and Vision Services Providers / Optometrist 152W00000X OD 60563438 Washington

Profile Details

NPI number 1942582440
LBN Legal business name Shams, Nicole
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2011
Last updated Sep 26th, 2019 - about 5 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 1942582440 NPPES
Washington Other 60563438 WA LICENSE #

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