Nilah Nicole Bonham Od Pc in Brazil - Eyewear Supplier

Nilah Nicole Bonham Od Pc - NPI 1477748986

Nilah Nicole Bonham Od Pc is a Eyewear Supplier in Brazil, Indiana. Nilah Nicole Bonham Od Pc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Nilah Nicole Bonham Od Pc is 1477748986. The last update date is 2007-09-07.

Nilah Nicole Bonham Od Pc's current location address is 325 W National Ave, Brazil, Indiana. You can contact this provider via phone number 8124430060 and fax number 8124465061. The mailing address for Nilah Nicole Bonham Od Pc is 325 W National Ave, Brazil, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Nilah Nicole Bonham Od Pc
Address 325 W National Ave, Brazil, Indiana
Phone Number 8124430060
Fax Number 8124465061
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OPTOMETRIS
Authorized Official Name Bonham Nicole Nilah
Credentials OD
Telephone Number 8124430060

NPI Number Detail

NPI Number 1477748986
Provider Enumeration Date 2007-09-07
Last Updated Date 2007-09-07

Provider Mailing Address Detail

Address 325 W National Ave
City Brazil
State Indiana (IN)
Post Code 47834
Phone Number 8124430060
Fax Number 8124465061

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 18003365A
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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FAQs about Nilah Nicole Bonham Od Pc

What is the unique 10-digit identifier code assigned to Nilah Nicole Bonham Od Pc by the Centers for Medicare & Medicaid Services?

The Nilah Nicole Bonham Od Pc has been issued the NPI (National Provider Identifier) 1477748986 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Nilah Nicole Bonham Od Pc's facilities are situated?

The facilities of Nilah Nicole Bonham Od Pc are physically located at the following address: 325 W National Ave, Brazil, IN, 47834.

What is Nilah Nicole Bonham Od Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nilah Nicole Bonham Od Pc's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.

When was the Nilah Nicole Bonham Od Pc's 1477748986 issued?

The Nilah Nicole Bonham Od Pc's 1477748986 was issued on 2007-09-07.

When was the information related to Nilah Nicole Bonham Od Pc most recently updated or refreshed?

The details pertaining to the Nilah Nicole Bonham Od Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-07.

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