Nicolas a Soulier P C
NPI #1114504032 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1114504032
- Entity Type
- Organization
- Organization Name
- Nicolas a Soulier P C
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 26, 2021
- Last Updated
- Feb 17, 2022
Practice Location
- Address
- 6424 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6204
- Phone
- (260) 969-1400
Authorized Official
- Name
- NICOLAS ANTONY SOULIER, OD
- Title
- SOLE MEMBER
- Phone
- (260) 312-5136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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