Nicholas Tyler Perichak, O.D, M.S.

NPI #1053792424 in Newark, Ohio

Provider Information

NPI Number: 1053792424
Entity Type: Individual
Name: Nicholas Tyler Perichak, O.D, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D, M.S.
Enumeration Date: Jun 11, 2015
Last Updated: Jun 11, 2015

Practice Location

Address: 1010 N 21ST ST
City: Newark
State: Ohio
ZIP Code: 43055-2984
Phone: (740) 366-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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