Male or Other

Dr. Philip L. Nicholson O.D.

Optometrist in Beltsville, MD(View on Map)

Full Name

Dr. Philip Leroy Nicholson O.D.

NPI Number

1184813974

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/17/2007

Specialties

(Taxonomies)

Code

152W00000X
152WV0400X

Primary Taxonomy

Yes
No

Licenses

State

Maryland

License Number

TA1322

Contact
Information

Purpose

Mailing
Location

Address

17904 GEORGIA AVE
10925 BALTIMORE AVE

City

Olney
Beltsville

State

MD
MD

Postal Code

20832-2239
20705-2117

Country

US
US

Telephone Number

(301) 595-9041
(301) 595-9041

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/17/2007

Provider Address

Other Optometrist in Beltsville, Maryland:

Female

Catherine Madsen O.D.

Beltsville, MD

Specialty: Optometrist (Primary)