Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS RYAN MAIROSE, LDO
Active Sole ProprietorNICHOLAS RYAN MAIROSE, LDO is a Optician, Dispensing healthcare provider located in DRY RIDGE, Kentucky. NPI 1821815093 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · DRY RIDGE, KY
Registration Details
- NPI Number
- 1821815093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2024 (1.8590374494705 yrs)
- Last Updated
- Sep 20, 2024
- License
-
110747 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 FERGUSON BLVDDRY RIDGE, KY, 410358699Browse KY providers · Browse ZIP 41035
- Phone
- 8598240724
- Fax
- 8598240734
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in DRY RIDGE, KY
| Name | Credential | NPI |
|---|---|---|
| SKY COLSTON | — | 1063144574 |
| GINA LOWE | LDO | 1720710247 |
| JEFFREY WILLIAM DAVIS | — | 1255067260 |
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.