JESSICA R NICHOLS

FAIRWAY EYE CENTER INC

Dr JESSICA R NICHOLS is a female medical professional, specializing in Optometry. She graduated in 2012 from Southern College Of Optometry.

Contact

FAIRWAY EYE CENTER INC

1528 NE 96TH ST
SUITE A
LIBERTY
MO
640681326

Tel: 8167815444

JESSICA R NICHOLS Information

Npi 1528320959
Pac Id 0648429829
Professional Enrollment Id I20121003000362
Last Name NICHOLS
First Name JESSICA
Middle Name R
Suffix
Gender F
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 2012
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAIRWAY EYE CENTER INC
Group Practice Pac Id 9234101361
Number Of Group Practice Members 6
Line 1 Street Address 1528 NE 96TH ST
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City LIBERTY
State MO
Zip Code 640681326
Phone Number 8167815444
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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