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)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