Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC OWEN NICHOLLS, OD
ActiveDR. ERIC OWEN NICHOLLS, OD is a Optometrist healthcare provider located in JOHNSBURG, Illinois. NPI 1821189051 is currently active in the NPPES registry. Verify at CMS.
Optometrist · JOHNSBURG, IL
Registration Details
- NPI Number
- 1821189051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.880668180502 yrs)
- Last Updated
- Oct 5, 2016
- Licenses
-
46009345 (IL)46009345 (IL)
Practice Information
- Address
-
3801 RUNNING BROOK FARM BLVDJOHNSBURG, IL, 600515425Browse IL providers · Browse ZIP 60051
- Phone
- 8153859224
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Corneal & Contact Management Optometrist
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.