Female

Nicole T. Hom O.D.

Optometrist in Las Vegas, NV(View on Map)

Full Name

Nicole Tracy Hom O.D.

NPI Number

1235485152

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/29/2012

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

California
Nevada

License Number

14417
743

Contact
Information

Purpose

Mailing
Location

Address

5516 HACKNEY CT
3870 S MARYLAND PKWY STE B

City

El Sobrante
Las Vegas

State

CA
NV

Postal Code

94803-3821
89119-7573

Country

US
US

Telephone Number

(510) 396-7630
(725) 867-6595

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

Data last updated by provider on 10/29/2024

Provider Address

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