CHARLES RICHARD NICHOLSON (NPI# 1962422253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962422253 |
Entity Type | Individual |
Full Name | CHARLES RICHARD NICHOLSON |
Credential | O.D. |
Practice Address |
11513 W Fairview Ave Suite 106 Boise ID 83713-7886 |
Practice Telephone | 2083228439 |
Practice Fax Number | 2083228433 |
Mailing Telephone | 2083228439 |
Mailing Fax Number | 2083228433 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2009-01-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | ODP-100134 | ID | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | MEDICARE PTAN | 1590015 | 01 |
ID | REGENCE BLUE SHIELD | 000010162496 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669652251 | Charles S Nicholson IIi | Dentist | 215 Curtis Ave, Coos Bay, OR 97420-1619 | 2007-11-12 |
1710105754 | Charles Preston Nicholson Jr. | Independent Medical Examiner | 9000 Aviation Blvd., Suite 116, Concord, NC 28027-0000 | 2007-04-23 |
1215433867 | Charles E Nicholson IIi | Student in an Organized Health Care Education/Training Program | 1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2018-04-03 |
1134283997 | Charles Henry Nicholson | Psychiatry & Neurology | 315 Camino Del Remedio, Santa Barbara, CA 93110-1332 | 2006-12-19 |
1609987502 | Charles Hathaway Nicholson | Anesthesiology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2006-08-31 |
1114958097 | Charles P. Nicholson | Surgery | 6405 France Ave S, Suite W440, Edina, MN 55435-2163 | 2006-07-06 |
1669400560 | Charles A. Nicholson IIi | Pathology | 1 Saint Francis Dr, Laboratory - St Francis Downtown, Greenville, SC 29601-3955 | 2006-06-29 |
Street Address |
11513 W FAIRVIEW AVE SUITE 106 |
City | BOISE |
State | ID |
Zip Code | 83713-7886 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336359694 | Clearview Family Eyecare Pllc | Optometrist | 11513 W Fairview Ave, Suite 106, Boise, ID 83713-7886 | 2007-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
Find all providers in zip 83713 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536362 | Daniel & Max, LLC | Optometrist | 1405 N Milwaukee St, Boise, ID 83704-8400 | 2020-10-20 |
1326669920 | Clear Eyes Optometric Care, Pllc | Optometrist | 7950 Horseshoe Bend Rd Ste 101, Boise, ID 83714-3809 | 2020-05-05 |
1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
1811388796 | Barber Town Eye Care | Optometrist | 3132 S Bown Way, Boise, ID 83706-5400 | 2015-02-12 |
1255742532 | Tiffany Risner | Optometrist | 610 S Americana Blvd, Boise, ID 83702-6731 | 2014-05-08 |
1154690923 | Gem State Family Eyecare, P.C. | Optometrist | 3815 W State St, Boise, ID 83703-5221 | 2011-12-22 |
1750678298 | Wendell Fackrell | Optometrist | 421 N. Cole Rd. Ste 102, Boise, ID 83704 | 2011-07-05 |
1972813855 | Dylan L Hatfield | Optometrist | 360 E. Mallard Dr. Ste 110, Hollingshead Eye Center, Boise, ID 83706-3945 | 2010-10-13 |
1043521941 | Nessa Livingston | Optometrist | 7960 W Rifleman St Ste 150, Boise, ID 83704-9065 | 2010-06-24 |
Find all providers in BOISE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.