DR. Nikki L Beadle, O.D

NPI #1306198155 in Scott Afb, Illinois

Provider Information

NPI Number: 1306198155
Entity Type: Individual
Name: DR. Nikki L Beadle, O.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D
Enumeration Date: Oct 3, 2012
Last Updated: Aug 16, 2022

Practice Location

Address: 310 W LOSEY ST
City: Scott Afb
State: Illinois
ZIP Code: 62225-5250
Phone: (618) 256-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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