DR. Nicole L Amidon, O.D.

NPI #1992762835 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1992762835
Entity Type: Individual
Name: DR. Nicole L Amidon, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 26, 2006
Last Updated: Dec 21, 2007

Practice Location

Address: 459 W JOHNSON ST
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-3170
Phone: (920) 922-5990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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