Charles Richard Nicholson is a Boise, Idaho based male Optometrist who is specialized in Optometry. Active license number of Charles Richard Nicholson is ODP-100134 for Optometry in Idaho. Charles Richard Nicholson examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Charles Richard Nicholson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
11513 W Fairview Ave, Suite 106, Boise, Idaho, 83713-7886
Phone:
208-322-8439
Fax:
208-322-8433
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1962422253
NPI Enumeration Date:
20 Jul, 2006
NPI Last Update On:
26 Jan, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Richard Nicholson are as mentioned below.
License Number
Specialization
State
Status
ODP-100134
Optometry
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Richard Nicholson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1590015
Other
Idaho
MEDICARE PTAN
000010162496
Other
Idaho
REGENCE BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11513 W Fairview Ave, Suite 106 Boise, Idaho
Zip:
83713-7886
Phone Number:
208-322-8439
Fax Number:
208-322-8433
Patients can reach Charles Richard Nicholson at 11513 W Fairview Ave, Suite 106, Boise, Idaho or can call to book an appointment on 208-322-8439. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.