Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK A. NICKERSON
Active Sole ProprietorMR. MARK A. NICKERSON is a Optician, Dispensing healthcare provider located in BRUNSWICK, Maine. NPI 1710181045 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BRUNSWICK, ME
Registration Details
- NPI Number
- 1710181045
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2007 (19.183988217327 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13545 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 MASON STBRUNSWICK, ME, 040111514Browse ME providers · Browse ZIP 04011
- Phone
- 2077257741
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.