Nicole L Amidon in Fond Du Lac - Optometrist
Nicole L Amidon - NPI 1992762835
Nicole L Amidon is a Optometrist in Fond Du Lac, Wisconsin. Nicole L Amidon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Nicole L Amidon is 1992762835. The last update date is 2007-12-21.
Nicole L Amidon's current location address is 459 W Johnson St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209225990. The mailing address for Nicole L Amidon is 459 W Johnson St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole L Amidon |
|---|---|
| Address | 459 W Johnson St, Fond Du Lac, Wisconsin |
| Phone Number | 9209225990 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1992762835 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
| Address | 459 W Johnson St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549353170 |
| Phone Number | 9209225990 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2758-.035 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WI2758 | EYEMED VISION NO. | ||
| 38611200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Nicole L Amidon by the Centers for Medicare & Medicaid Services?
The Nicole L Amidon has been issued the NPI (National Provider Identifier) 1992762835, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Nicole L Amidon is geographically located?
The Nicole L Amidon is physically situated at the following location: 459 W Johnson St, Fond Du Lac, WI, 549353170.
What is the Nicole L Amidon's area of specialization and corresponding taxonomy classification?
The Nicole L Amidon's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
When did the Nicole L Amidon receive its 1992762835?
The Nicole L Amidon was issued its 1992762835 on 2006-04-26, which is the date when the organization was assigned this unique identifier.
As of what date were the Nicole L Amidon's details last updated?
The information pertaining to the Nicole L Amidon, including its address, specialty, and other details, was most recently updated on 2007-12-21.