Dr JESSICA R NICHOLS is a female medical professional, specializing in Optometry. She graduated in 2012 from Southern College Of Optometry.
FAIRWAY EYE CENTER INC
1528 NE 96TH ST
SUITE A
LIBERTY
MO
640681326
Tel: 8167815444
Npi | 1528320959 |
Pac Id | 0648429829 |
Professional Enrollment Id | I20121003000362 |
Last Name | NICHOLS |
First Name | JESSICA |
Middle Name | R |
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Gender | F |
Credential | |
Medical School Name | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 2012 |
Primary Specialty | OPTOMETRY |
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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 |
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Professional Accepts Medicare Assignment | Y |
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