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.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.