Nickel Od, LLC

NPI #1962780726 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1962780726
Entity Type: Organization
Organization Name: Nickel Od, LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 28, 2011
Last Updated: Jul 28, 2011

Practice Location

Address: 1030 BLAIRS FERRY RD NE
City: Cedar Rapids
State: Iowa
ZIP Code: 52402-1220
Phone: (319) 393-4459

Authorized Official

Name: DR. ANNETTE NICKEL
Title: OWNER
Phone: (740) 262-6857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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