Nicolex LLC

NPI #1003221185 in Phoenix, Arizona

Provider Information

NPI Number: 1003221185
Entity Type: Organization
Organization Name: Nicolex LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 26, 2014
Last Updated: Mar 13, 2015

Practice Location

Address: 14435 N 7TH ST
Address 2: STE 104
City: Phoenix
State: Arizona
ZIP Code: 85022-4371
Phone: (602) 993-2727

Authorized Official

Name: DR. JESSE VINCENT DOMINGUEZ, OD
Title: PRESIDENT
Phone: (623) 330-8723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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