CHARLES RICHARD NICHOLSON


Address: 11513 W Fairview Ave, Suite 106, Boise, ID 83713-7886
Phone: 2083228439

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist ODP-100134 ID Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID MEDICARE PTAN 1590015 01
ID REGENCE BLUE SHIELD 000010162496 01

Other Providers CHARLES NICHOLSON

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

Office Location

Street Address 11513 W FAIRVIEW AVE
SUITE 106
City BOISE
State ID
Zip Code 83713-7886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336359694 Clearview Family Eyecare Pllc Optometrist 11513 W Fairview Ave, Suite 106, Boise, ID 83713-7886 2007-05-23

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City BOISE
Zip Code 83713

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Dataset Information

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.

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