Thompson, Nicole Irene
Thompson, Nicole Irene is an sole proprietor health care provider with primary practice located at 4719 Camino Dorado Dr Suite 1, San Antonio TX 78233-6302. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Thompson, Nicole Irene can be contacted via phone (210) 354-7390.Contact Information
Primary practice address
4719 Camino Dorado Dr Suite 1
San Antonio TX 78233-6302
Phone: (210) 354-7390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1376964650 |
|---|---|
| LBN Legal business name | Thompson, Nicole Irene |
| Credentials | ABOC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2014 |
| Last updated | Sep 9th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376964650 | NPPES |
| Texas | Other | 146151 | AMERICAN BOARD OF OPTICIANRY |
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