Nicole Jae Sim Optometric, INC
NPI #1932439304 in Berkeley, California
Provider Information
- NPI Number
- 1932439304
- Entity Type
- Organization
- Organization Name
- Nicole Jae Sim Optometric, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NICOLE JAE SIM OPTOMETRIC, INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 7, 2010
- Last Updated
- Jan 29, 2010
Practice Location
- Address
- 2118 VINE ST
- Address 2
- SUITE E
- City
- Berkeley
- State
- California
- ZIP Code
- 94709-1524
- Phone
- (510) 548-3947
Authorized Official
- Name
- DR. NICOLE JAE SIM, O.D.
- Title
- PRESIDENT
- Phone
- (510) 548-3947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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