Professional Eyecare Associates and Optical Pllc

NPI #1386821981 in Humboldt, Tennessee

Provider Information

NPI Number
1386821981
Entity Type
Organization
Organization Name
Professional Eyecare Associates and Optical Pllc
Primary Specialty
Optometrist
Enumeration Date
Jan 25, 2008
Last Updated
May 25, 2010

Practice Location

Address
2118 E MAIN ST
ZIP Code
38343-3054
Phone
(731) 784-1973

Authorized Official

Name
DR. LARRY LEE NICHOLSON II, O.D.
Title
OWNER/MANAGER
Phone
(731) 415-9368

Specialties & Taxonomy Codes

Specialty
Optometrist

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